Ambrosa Tucker

Individual provider Active NPI Mental Health Counselor · Monroeville, AL

NPI 1447711643 · NPPES record last updated Mar 29, 2019

Key facts

NPI
1447711643
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
328 W Claiborne St
Monroeville, AL 36460-1738
Phone
(251) 575-4203
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Behavioral Health Care Systems Past
since Sep 16, 1996
Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AL Yes

Addresses

Primary practice location

328 W Claiborne St
Monroeville, AL 36460-1738

Mailing address

PO Box 964
Monroeville, AL 36461-0964
Phone (251) 575-4203

Other providers in Monroeville, AL

All providers in Monroeville, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.