Organization
OPTIMAL MENTAL HEALTH VIRTUAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMYJI GROOM DNP, PMHNP-BC (CEO)
(205) 775-0080
Entity
Organization
Contact information
Practice address
1430 GADSDEN HWY STE 116-618, BIRMINGHAM, AL 35235-3103
(205) 775-0080
Mailing address
1430 GADSDEN HWY STE 116-618, BIRMINGHAM, AL 35235-3103
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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