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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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