Southeast Psychiatric Services

LBN: Professional Resource Management Of Wiregrass, Llc
Southeast Psychiatric Services is an health care organization with primary practice located at 2812 Hartford Hwy Ste 1 , Dothan AL 36305-4927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Professional Resource Management Of Wiregrass, Llc can be contacted via phone (334) 712-1170, or through Gilley, Nancy A via phone (334) 712-1170.

Contact Information

Primary practice address
2812 Hartford Hwy Ste 1 Dothan AL 36305-4927
Phone: (334) 712-1170
Fax: (334) 460-8391
Website:
Map and Directions
Authorized official contact:
Name: Gilley, Nancy A
Phone: (334) 712-1170

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1033495221
LBN Legal business name Professional Resource Management Of Wiregrass, Llc
DBA Doing business as Southeast Psychiatric Services
Authorized official Gilley, Nancy A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2011
Last updated Dec 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033495221 NPPES
Alabama MEDICAID 134225

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