Organization
BEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMAN W BEACHAM (OWNER/PRESIDENT)
(334) 272-3889
Entity
Organization
Contact information
Practice address
8104 SEATON PL, MONTGOMERY, AL 36116
(334) 272-3889
(334) 272-4089
Mailing address
8104 SEATON PL, MONTGOMERY, AL 36116-7204
(334) 272-3889
(334) 272-4089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179762
—
AL
Enumeration date
07/28/2015
Last updated
05/24/2018
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