# STONESTAR HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669175600
- **Authorized official:** MR. MARCUS DERAMUS (CEO)
- **Authorized official phone:** (334) 538-9853

## Contact information

- **Practice address:** 131 MARKET PL, MONTGOMERY, AL 36117-4900
- **Practice address phone:** (334) 538-9853
- **Mailing address:** 131 MARKET PL, MONTGOMERY, AL 36117-4900
- **Mailing address phone:** (334) 538-9853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QV0200X | VA Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 06/15/2023