1467514208 NPI number — HEALTH AND MORE INC

Table of content: (NPI 1467514208)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467514208 NPI number — HEALTH AND MORE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH AND MORE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467514208
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
985 NINTH AVE SW
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
BESSEMER
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35022-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-425-6395
Provider Business Mailing Address Fax Number:
205-481-8558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
985 NINTH AVE SW
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
BESSEMER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35022-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-425-6395
Provider Business Practice Location Address Fax Number:
205-481-8558
Provider Enumeration Date:
12/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BULLOCK
Authorized Official First Name:
SUE ELLEN
Authorized Official Middle Name:
KESLAR
Authorized Official Title or Position:
PRESIDENT THERAPIST
Authorized Official Telephone Number:
205-425-6395

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0496-1365C , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7335708 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51525764 . This is a "ABBM BC FED" identifier . This identifiers is of the category "OTHER".




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