| Spectracare Integrated Services LLC | |
|
3542 Montgomery Hwy Dothan AL 36303-2165 | |
| (334) 712-2720 | |
| (334) 712-2727 |
| Full Name | Spectracare Integrated Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3542 Montgomery Hwy, Dothan, Alabama |
| Authorized Official Name and Position | Melissa Kirkland (CHIEF EXECTUTIVE OFFICER) |
| Authorized Official Contact | 3347122720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectracare Integrated Services LLC Po Box 1245 Dothan AL 36302-1245 Ph: (334) 712-2720 | Spectracare Integrated Services LLC 3542 Montgomery Hwy Dothan AL 36303-2165 Ph: (334) 712-2720 |
| NPI Number | 1205385176 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Medicare PECOS PAC ID | 8921386798 |
|---|---|
| Medicare Enrollment ID | O20161028001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205385176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Fernando Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659391951 PECOS PAC ID: 7810980950 Enrollment ID: I20040406000094 |
| Provider Name | Esiri Esin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013147990 PECOS PAC ID: 4284778259 Enrollment ID: I20100927000264 |
| Provider Name | Amanda Louise Baine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528663275 PECOS PAC ID: 0648685008 Enrollment ID: I20210216003240 |
| Provider Name | Bobbi Houston Pippins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891485173 PECOS PAC ID: 8628434123 Enrollment ID: I20230524003273 |
| Provider Name | Brittnee Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407546021 PECOS PAC ID: 9537527148 Enrollment ID: I20230614000249 |
| Provider Name | Jenny Lee Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811644503 PECOS PAC ID: 8527429349 Enrollment ID: I20230726002626 |
| Provider Name | Lisa Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639937840 PECOS PAC ID: 8325488604 Enrollment ID: I20240503000914 |
| Provider Name | Edward Prosser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811615222 PECOS PAC ID: 0840708079 Enrollment ID: I20250731000954 |
| Provider Name | Hannah Jo Jakelsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588451637 PECOS PAC ID: 3173023421 Enrollment ID: I20250821004356 |
Sanctuary Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir, Dothan, AL 36301 Phone: 334-794-2113 |
Dothan Neurology Clinic, PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 |
Wiregrass Wellness Center, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Regency Ct, Dothan, AL 36305 Phone: 334-673-8869 Fax: 334-673-8851 |
Southeast Alabama Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 Fax: 334-793-8147 |
Life Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Foster St, Dothan, AL 36301 Phone: 719-684-6715 |
Southeast Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2812 Hartford Hwy Ste 1, Dothan, AL 36305 Phone: 334-712-1170 Fax: 334-460-8391 |