| South Shelby Wellness, Llc | |
|
262 Yeager Pkwy Ste F Pelham AL 35124-4884 | |
| (205) 617-1446 | |
| Not Available |
| Full Name | South Shelby Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 262 Yeager Pkwy Ste F, Pelham, Alabama |
| Authorized Official Name and Position | Melissa Woody (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2056171446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shelby Wellness, Llc 265 Nottingham Dr Calera AL 35040-4984 Ph: (205) 617-1446 | South Shelby Wellness, Llc 262 Yeager Pkwy Ste F Pelham AL 35124-4884 Ph: (205) 617-1446 |
| NPI Number | 1952984148 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952984148 | NPI | - | NPPES |
| 267463 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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