SPECTRUM MENTAL WELLNESS LLC NPI 1093321994

NPI Information

NPI: 1093321994
Provider Name: SPECTRUM MENTAL WELLNESS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
201 BOB WALLACE AVE SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 642-7400
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SPECTRUM MENTAL WELLNESS, LLC is a mental health (including community mental health center) clinic center in Huntsville, AL. SPECTRUM MENTAL WELLNESS, LLC NPI is 1093321994. The provider is registered as an organization entity type.

The provider's business location address is:

201 BOB WALLACE AVE SW
HUNTSVILLE, AL
ZIP 35801-810
Phone: (256) 642-7400
Fax: (256) 642-7600

The provider's authorized official is Keri Anne Bressette .
The authorized official title is Licensed Psychologist and has the following contact phone number (256) 466-6385.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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