Mt. Lakes Behavioral Healthcare
LBN: Marshall-Jackson Mental Health Bd., Inc.
Mt. Lakes Behavioral Healthcare is an health care organization with primary practice located at 2409 Homer Clayton Dr , Guntersville AL 35976-2207. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Marshall-Jackson Mental Health Bd., Inc. can be contacted via phone (256) 582-3203, or through Gargis, Myron via phone (256) 582-4240.
Contact Information
Primary practice address
2409 Homer Clayton Dr
Guntersville AL 35976-2207
Phone: (256) 582-3203
Fax: (256) 582-3216
Website:
Authorized official contact:
Name: Gargis, Myron Licensed Clinical Social Worker (LCSW)
Phone: (256) 582-4240
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1568495588 |
|---|---|
| LBN Legal business name | Marshall-Jackson Mental Health Bd., Inc. |
| DBA Doing business as | Mt. Lakes Behavioral Healthcare |
| Authorized official | Gargis, Myron Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 18th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568495588 | NPPES |
| Alabama | Other | 510081221 | BCBS ALLKIDS |
| Alabama | Other | 528400680 | BCBS ALLKIDS |
| Alabama | MEDICAID | 590000013 | BCBS ALLKIDS |
| Alabama | Other | 1568495588 | BCBS ALLKIDS |
| Alabama | MEDICAID | 330000013 | BCBS ALLKIDS |
| Alabama | MEDICAID | 330034013 | BCBS ALLKIDS |
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