Individual
RANDALL EUGENE CLECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 GAULT AVE S, FORT PAYNE, AL 35968
(256) 997-9356
(256) 997-9314
Mailing address
300 GAULT AVE S, FORT PAYNE, AL 35968
(256) 997-9356
(256) 997-9314
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1167C
AL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1167C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51550439
—
AL
01
—
51550439CLE
BCBS OF AL PROVIDER
AL
Enumeration date
01/22/2007
Last updated
07/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us