institution
Wiregrass Mental Health Board Inc
Adolescent and Children Mental Health Clinic/Center in Dothan, Alabama
NPI 1568638534

Wiregrass Mental Health Board Inc is an Adolescent and Children Mental Health Clinic/Center based in Dothan, AL and is specialized in Adolescent and Children Mental Health. Wiregrass Mental Health Board Inc practices in Dothan, AL. The NPI Number for Wiregrass Mental Health Board Inc is 1568638534 and holds a License No. (Alabama).

The current practice location address for Wiregrass Mental Health Board Inc is 134 Prevatt Rd, Dothan, AL and can be reached out via phone at 334-794-0731. You can also correspond with Wiregrass Mental Health Board Inc through the mailing address at PO BOX 1245, DOTHAN, AL - 36302-1245 (mailing address contact number: 334-712-2720).

Location: 134 Prevatt Rd, Dothan, AL, 36302-1245
institution
Provider Profile Details
NPI Number
1568638534
Provider Name
Wiregrass Mental Health Board Inc
Credential
Provider Entity Type
Organization
Address
134 Prevatt Rd, Dothan, AL, 36302-1245
Phone Number
334-794-0731
Fax Number
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000008817 01 AL MEDICARE
590000010 05 AL
331600587 05 AL
059726100 05 FL
20427 01 AL MEDICARESECONDARY
331000069 05 AL
330034010 05 AL
331000067 05 AL
331000467 05 AL
51003550 01 AL COMMERCIAL INS.
33000067 05 AL
33034010 05 AL
591500003 05 AL
14609 01 AL MEDICARE SECONDARY
330000010 05 AL
51043902 01 AL BLUE CROSS BLUE SHIELD
591600003 05 AL
14635 01 AL MEDICARE SECONDARY
331600592 05 AL
institution
Provider Business Practice Location Address Details
Address
134 Prevatt Rd
City
State
Zip
36301-5427
Phone Number
334-794-0731
Fax Number
person
Provider Business Mailing Address Details
Address
134 Prevatt Rd
City
State
Zip
36301-5427
Phone Number
334-794-0731
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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