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WELLSTONE, INC.

Addiction Substance Use Disorder

Huntsville, Alabama

Provider NPI: 1407809213

Organization Information:
Organization Name:  WELLSTONE, INC.
Organization is not Subpart
Authorized Official:  TORI L LOVELL  HUMAN RESOURCES MANAGER  256-7056312

Practice Location:
4040 MEMORIAL PKWY SW  HUNTSVILLE, AL 35802 US
Tel: 256-533-1970  Fax: 256-532-4141

Business Mailing Address:
4040 MEMORIAL PKWY SW  HUNTSVILLE, AL 35802 US
Tel: 256-533-1970  Fax: 256-532-4141

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
N2084P0800XPhysicians
Psychiatry & Neurology
N2084P0804XPhysicians
Psychiatry & Neurology
N2084P0805XPhysicians
Psychiatry & Neurology
Y101YM0800XBehavioral Health & Social Service Providers
Counselor

Other Provider Identifiers:

IssuerNumberStateType
330000014AL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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