| Wellstone Behavioral Health | |
|
4040 Memorial Pkwy Sw Huntsville AL 35802-4364 | |
| (256) 533-1970 | |
| (256) 532-4141 |
| Full Name | Wellstone Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 4040 Memorial Pkwy Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Tori L Lovell (HUMAN RESOURCES MANAGER) |
| Authorized Official Contact | 2567056312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstone Behavioral Health 4040 Memorial Pkwy Sw Huntsville AL 35802-4364 Ph: (256) 533-1970 | Wellstone Behavioral Health 4040 Memorial Pkwy Sw Huntsville AL 35802-4364 Ph: (256) 533-1970 |
| NPI Number | 1407809213 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/23/2020 |
| Certification Date | 06/23/2020 |
| Medicare PECOS PAC ID | 9739070046 |
|---|---|
| Medicare Enrollment ID | O20040324000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407809213 | NPI | - | NPPES |
| 330000014 | Medicaid | AL |
| Provider Name | Donald R Klasing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508860230 PECOS PAC ID: 3072566249 Enrollment ID: I20050228000759 |
| Provider Name | Anupama D Yedla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609838762 PECOS PAC ID: 5799781134 Enrollment ID: I20061009000195 |
| Provider Name | Krista A Moulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982755633 PECOS PAC ID: 2365444031 Enrollment ID: I20070208000485 |
| Provider Name | James L Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033287198 PECOS PAC ID: 2668573981 Enrollment ID: I20070730000932 |
| Provider Name | Ajmal M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538251426 PECOS PAC ID: 5890865950 Enrollment ID: I20080531000016 |
| Provider Name | Cynthia Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174689459 PECOS PAC ID: 3779680954 Enrollment ID: I20080605000018 |
| Provider Name | Neva J Roark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730154717 PECOS PAC ID: 0749478402 Enrollment ID: I20101221001199 |
| Provider Name | Azar Sheikholeslami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366730277 PECOS PAC ID: 4789854670 Enrollment ID: I20110901000455 |
| Provider Name | Jeanne P Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538179205 PECOS PAC ID: 4789692963 Enrollment ID: I20110930000582 |
| Provider Name | Charles D Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588927099 PECOS PAC ID: 3577711720 Enrollment ID: I20120913000575 |
| Provider Name | Praveen Narahari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053549832 PECOS PAC ID: 6002060498 Enrollment ID: I20130213000004 |
| Provider Name | Virginia Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053683938 PECOS PAC ID: 0244465995 Enrollment ID: I20131105000604 |
| Provider Name | Mandy S Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154729085 PECOS PAC ID: 6103144209 Enrollment ID: I20150422001194 |
| Provider Name | Marina Victorovna Nedospasova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043689490 PECOS PAC ID: 0648562173 Enrollment ID: I20160701001200 |
| Provider Name | Sean K Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689123051 PECOS PAC ID: 1951680578 Enrollment ID: I20161122000661 |
| Provider Name | Lillian Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399662 PECOS PAC ID: 7911282298 Enrollment ID: I20170329000922 |
| Provider Name | Paula C Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154843209 PECOS PAC ID: 9234403007 Enrollment ID: I20170918000500 |
| Provider Name | Tiffany R Bumpus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578051348 PECOS PAC ID: 1759638695 Enrollment ID: I20180723003497 |
| Provider Name | Krystina M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003287764 PECOS PAC ID: 2163773938 Enrollment ID: I20180918004380 |
| Provider Name | Adriane Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427503382 PECOS PAC ID: 9537410899 Enrollment ID: I20180925003765 |
| Provider Name | Elizabeth Wimberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235546219 PECOS PAC ID: 2961748777 Enrollment ID: I20190116001348 |
| Provider Name | Sharon Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700094463 PECOS PAC ID: 2163765082 Enrollment ID: I20190516002081 |
| Provider Name | Ian S Kinzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761810 PECOS PAC ID: 1254764715 Enrollment ID: I20191214000104 |
| Provider Name | Shanthi Gatla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033595434 PECOS PAC ID: 6507136421 Enrollment ID: I20200325001904 |
| Provider Name | Erin Dover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013426295 PECOS PAC ID: 2961890272 Enrollment ID: I20211019001180 |
| Provider Name | Jiri Danczik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700841681 PECOS PAC ID: 5294715629 Enrollment ID: I20220217002263 |
| Provider Name | Narae Phulongphia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124772611 PECOS PAC ID: 9830583145 Enrollment ID: I20220303000164 |
| Provider Name | Latrika Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356075642 PECOS PAC ID: 0244601847 Enrollment ID: I20230118001757 |
| Provider Name | Christina R Eatmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851933675 PECOS PAC ID: 2062884976 Enrollment ID: I20230202000149 |
| Provider Name | Danae Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287956 PECOS PAC ID: 9739324120 Enrollment ID: I20230417002863 |
| Provider Name | Tyler Monique Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609565175 PECOS PAC ID: 0648631655 Enrollment ID: I20230807001503 |
| Provider Name | Ngozi Ukeje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902487648 PECOS PAC ID: 2466808183 Enrollment ID: I20231031003452 |
| Provider Name | Connor Randall Overby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340198 PECOS PAC ID: 6406205756 Enrollment ID: I20231212001078 |
Kathie L. Butler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Longwood Dr Sw, Huntsville, AL 35801 Phone: 256-534-8161 Fax: 256-534-7254 | |
Cygnus Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8319 Whitesburg Way Se Apt 911, Huntsville, AL 35802 Phone: 504-812-2777 | |
Dayspring Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7800 Madison Blvd Ste 601, Huntsville, AL 35806 Phone: 256-970-4453 Fax: 256-686-2250 | |
Huntsville Metro Treatment Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2227 Drake Ave, Suite 19, Huntsville, AL 35805 Phone: 256-881-1311 Fax: 256-881-1412 | |
Rhonda Marie Stalb Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7027 Old Madison Pike Nw Ste 108, Huntsville, AL 35806 Phone: 256-631-6303 Fax: 256-690-0992 | |
Tennessee Valley Neurological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Chateau Dr Sw, Suite 150, Huntsville, AL 35801 Phone: 256-503-3012 | |
Harris Neurological Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Chateau Dr Sw, Suite 150, Huntsville, AL 35801 Phone: 256-883-1630 Fax: 256-883-1540 |