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Organization
LIFEWORKS PSYCHIATRIC CENTER, LLC
Active
Organization
LIFEWORKS PSYCHIATRIC CENTER, LLC
Active
Other names
LifeWorks
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRANDA SHAE CODY PMHNP-BC (PMHNP-BC)
(205) 717-6050
Entity
Organization
Contact information
Practice address
35 WILLOW LN, JASPER, AL 35503-6122
(205) 717-6050
(205) 892-9272
Mailing address
3608 HIGHWAY 78 E, JASPER, AL 35501-8909
(205) 717-6050
(205) 892-9272
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
11/26/2024
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