Jeanetta Rena Maddox in Decatur - Mental Health
Jeanetta Rena Maddox - NPI 1104098987
Jeanetta Rena Maddox is a Mental Health in Decatur, Alabama. Jeanetta Rena Maddox practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeanetta Rena Maddox is 1104098987. The last update date is 2019-07-16.
Jeanetta Rena Maddox's current location address is 1316 Somerville Rd Se Ste 1, Decatur, Alabama. You can contact this provider via phone number 2562607361 and fax number 2563556092. The mailing address for Jeanetta Rena Maddox is 1316 Somerville Rd Se Ste 1, Decatur, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanetta Rena Maddox |
|---|---|
| Address | 1316 Somerville Rd Se Ste 1, Decatur, Alabama |
| Phone Number | 2562607361 |
| Fax Number | 2563556092 |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1104098987 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2019-07-16 |
Provider Mailing Address Detail
| Address | 1316 Somerville Rd Se Ste 1 |
|---|---|
| City | Decatur |
| State | Alabama (AL) |
| Post Code | 356014309 |
| Phone Number | 2562607361 |
| Fax Number | 2563556092 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51547790 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeanetta Rena Maddox by the Centers for Medicare & Medicaid Services?
The Jeanetta Rena Maddox has been assigned the NPI (National Provider Identifier) 1104098987 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jeanetta Rena Maddox is physically located?
The Jeanetta Rena Maddox is physically situated at the following address: 1316 Somerville Rd Se Ste 1, Decatur, AL, 356014309.
What is Jeanetta Rena Maddox's area of expertise and its corresponding taxonomy classification?
The Jeanetta Rena Maddox's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did Jeanetta Rena Maddox receive its 1104098987 assignment from the Centers for Medicare & Medicaid Services?
The Jeanetta Rena Maddox was assigned its 1104098987 on 2008-04-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeanetta Rena Maddox's information last updated?
The Jeanetta Rena Maddox's information was last updated on 2019-07-16.