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Organization
LIFECARE WELLNESS PSYCHIATRIC GROUP
Active
Organization
LIFECARE WELLNESS PSYCHIATRIC GROUP
Active
Other names
Lifecare Wellness Psychiatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA WILLIAMSON (OWNER)
(205) 391-7534
Entity
Organization
Contact information
Practice address
653 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 258-2249
(205) 293-5516
Mailing address
216 2ND ST SW, GORDO, AL 35466-2221
(205) 391-7534
(205) 344-9031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019045211
ANCC
—
Enumeration date
05/07/2020
Last updated
05/11/2020
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