Jamison Behavioral Wellness LLC
Psychiatry & Neurology, Psychiatry in Dothan, AL. Organization (NPI-2).
NPI number1194353672
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1194353672
- Entity type
- Organization (NPI-2)
- Legal business name
- Jamison Behavioral Wellness LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
256 Honeysuckle Rd Ste 12Dothan, AL 36305-1168
Phone 334-792-6736 · Fax 334-792-6737
Mailing address
256 Honeysuckle Rd Ste 12Dothan, AL 36305-1168
Phone 334-792-6736 · Fax 334-792-6737
Authorized official
Dallarie Jamison
Owner
2293090684
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