| Winds Of Change Psychological Services Of Mobile | |
|
6341 Piccadilly Square Dr Mobile AL 36609-5103 | |
| (251) 343-5300 | |
| (251) 343-6613 |
| Full Name | Winds Of Change Psychological Services Of Mobile |
|---|---|
| Speciality | Psychologist |
| Location | 6341 Piccadilly Square Dr, Mobile, Alabama |
| Authorized Official Name and Position | Jennifer Lynn Adams (CEO, PRESIDENT) |
| Authorized Official Contact | 2518248602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Psychological Services Of Mobile 15360 Clark Rd Coden AL 36523-3206 Ph: (251) 824-8602 | Winds Of Change Psychological Services Of Mobile 6341 Piccadilly Square Dr Mobile AL 36609-5103 Ph: (251) 343-5300 |
| NPI Number | 1912236779 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 01/05/2010 |
| Medicare PECOS PAC ID | 6608068481 |
|---|---|
| Medicare Enrollment ID | O20101012000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912236779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 961 (Hawaii) | Primary |
| Provider Name | Jennifer L Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225171671 PECOS PAC ID: 9335207869 Enrollment ID: I20101013000968 |
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