| Whitehead & Associates | |
|
4217 Green Meadow Dr Montgomery AL 36108-5009 | |
| (334) 625-0779 | |
| Not Available |
| Full Name | Whitehead & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 4217 Green Meadow Dr, Montgomery, Alabama |
| Authorized Official Name and Position | Danel Whitehead (OWNER) |
| Authorized Official Contact | 3133000567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehead & Associates 3066 Zelda Rd Pmb 234 Montgomery AL 36106 Ph: (334) 625-0779 | Whitehead & Associates 4217 Green Meadow Dr Montgomery AL 36108-5009 Ph: (334) 625-0779 |
| NPI Number | 1265255210 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 9537689054 |
|---|---|
| Medicare Enrollment ID | O20250226003599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265255210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danel Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578930830 PECOS PAC ID: 6103206602 Enrollment ID: I20220630000227 |
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