Angeline Raley Tribe in Dothan - Mental Health
Angeline Raley Tribe - NPI 1871651398
Angeline Raley Tribe is a Mental Health in Dothan, Alabama. Angeline Raley Tribe practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Angeline Raley Tribe is 1871651398. The last update date is 2007-07-08.
Angeline Raley Tribe's current location address is 2694 S Park Ave, Dothan, Alabama. You can contact this provider via phone number 3347122720 and fax number 3347122727. The mailing address for Angeline Raley Tribe is 2694 S Park Ave, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angeline Raley Tribe |
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Address | 2694 S Park Ave, Dothan, Alabama |
Phone Number | 3347122720 |
Fax Number | 3347122727 |
Sole Proprietor | N |
Credentials | LPC |
NPI Number Detail
NPI Number | 1871651398 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2694 S Park Ave |
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City | Dothan |
State | Alabama (AL) |
Post Code | 363014904 |
Phone Number | 3347122720 |
Fax Number | 3347122727 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 1474 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
510-36592 | AL | BLUE CROSS AND BLUE SHIEL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Angeline Raley Tribe by the Centers for Medicare & Medicaid Services?
The Angeline Raley Tribe has been issued the NPI (National Provider Identifier) 1871651398, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Angeline Raley Tribe's physical address?
The Angeline Raley Tribe is physically located at 2694 S Park Ave, in the city of Dothan, AL, with the postal code 363014904.
What is Angeline Raley Tribe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angeline Raley Tribe's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871651398 to Angeline Raley Tribe?
The Angeline Raley Tribe received its 1871651398 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the details pertaining to Angeline Raley Tribe last refreshed?
The information related to the Angeline Raley Tribe, including its address, specialty, and other relevant details, was last updated on 2007-07-08.