Randall Eugene Cleckler in Fort Payne - Adult Mental Health
Randall Eugene Cleckler - NPI 1922152586
Randall Eugene Cleckler is a Adult Mental Health in Fort Payne, Alabama. Randall Eugene Cleckler practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Randall Eugene Cleckler is 1922152586. The last update date is 2008-07-10.
Randall Eugene Cleckler's current location address is 300 Gault Ave S, Fort Payne, Alabama. You can contact this provider via phone number 2569979356 and fax number 2569979314. The mailing address for Randall Eugene Cleckler is 300 Gault Ave S, Fort Payne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Eugene Cleckler |
|---|---|
| Address | 300 Gault Ave S, Fort Payne, Alabama |
| Phone Number | 2569979356 |
| Fax Number | 2569979314 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1922152586 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 300 Gault Ave S |
|---|---|
| City | Fort Payne |
| State | Alabama (AL) |
| Post Code | 35968 |
| Phone Number | 2569979356 |
| Fax Number | 2569979314 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 1167C |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51550439CLE | AL | BCBS OF AL PROVIDER | |
| 51550439 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randall Eugene Cleckler by the Centers for Medicare & Medicaid Services?
The Randall Eugene Cleckler has been assigned the NPI (National Provider Identifier) 1922152586. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randall Eugene Cleckler is located?
The Randall Eugene Cleckler is situated at the following address: 300 Gault Ave S, Fort Payne, AL, 35968.
What is Randall Eugene Cleckler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall Eugene Cleckler is Adult Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0850X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922152586 to Randall Eugene Cleckler?
The Randall Eugene Cleckler received its 1922152586 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information pertaining to Randall Eugene Cleckler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randall Eugene Cleckler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-10.
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