| Stable Change Behavioral Health Llc | |
|
937 County Road 43 Samson AL 36477-5747 | |
| (541) 591-9712 | |
| Not Available |
| Full Name | Stable Change Behavioral Health Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 937 County Road 43, Samson, Alabama |
| Authorized Official Name and Position | Jessica M Kelley (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5415919712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stable Change Behavioral Health Llc 937 County Road 43 Samson AL 36477-5747 Ph: (541) 591-9712 | Stable Change Behavioral Health Llc 937 County Road 43 Samson AL 36477-5747 Ph: (541) 591-9712 |
| NPI Number | 1851147482 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851147482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |