| Telewellness Therapy, Llc | |
|
2408 Scepter Ln Hoover AL 35226-2902 | |
| (205) 370-5156 | |
| Not Available |
| Full Name | Telewellness Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2408 Scepter Ln, Hoover, Alabama |
| Authorized Official Name and Position | Amanda Myers Campos (CLINICAL PSYCHOLOGIST/FOUNDER) |
| Authorized Official Contact | 2053705156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telewellness Therapy, Llc 2408 Scepter Ln Hoover AL 35226-2902 Ph: (205) 370-5156 | Telewellness Therapy, Llc 2408 Scepter Ln Hoover AL 35226-2902 Ph: (205) 370-5156 |
| NPI Number | 1528635851 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Medicare PECOS PAC ID | 5597165738 |
|---|---|
| Medicare Enrollment ID | O20210610000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528635851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Amanda Campos |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1104170240 PECOS PAC ID: 6103124748 Enrollment ID: I20160414000542 |
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