| Sonforever | |
|
894 E Main St Headland AL 36345-1854 | |
| (334) 794-2113 | |
| Not Available |
| Full Name | Sonforever |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 894 E Main St, Headland, Alabama |
| Authorized Official Name and Position | Diane Ealey (DIRECTOR) |
| Authorized Official Contact | 7704802522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonforever 894 E Main St Headland AL 36345-1854 Ph: (334) 794-2113 | Sonforever 894 E Main St Headland AL 36345-1854 Ph: (334) 794-2113 |
| NPI Number | 1912640194 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912640194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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