Organization
WARREN BEHAVIORAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNELLE LEKOYNE WARREN PH.D. (LICENSED PSYCHOLOGIST)
(334) 808-8991
Entity
Organization
Contact information
Practice address
889 ELBA HWY, TROY, AL 36079-6017
(334) 808-8991
(334) 808-8995
Mailing address
PO BOX 952, TROY, AL 36081-0952
(334) 808-8991
(334) 808-8995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1357
AL
103TC0700X
Clinical Psychologist
PSY003090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-00470
UNITED HEALTHCARE SERVICE
AL
Enumeration date
07/10/2007
Last updated
04/20/2008
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