| The Mental Bistro, Llc | |
|
6595 Highway 43 Bldg D Spruce Pine AL 35585-4223 | |
| (256) 436-7460 | |
| Not Available |
| Full Name | The Mental Bistro, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6595 Highway 43 Bldg D, Spruce Pine, Alabama |
| Authorized Official Name and Position | Ashley Kimbrough (THERAPIST/OWNER) |
| Authorized Official Contact | 2564367460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Bistro, Llc 6595 Highway 43 Bldg D Spruce Pine AL 35585-4223 Ph: (256) 436-7460 | The Mental Bistro, Llc 6595 Highway 43 Bldg D Spruce Pine AL 35585-4223 Ph: (256) 436-7460 |
| NPI Number | 1649003716 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649003716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |