Deandra Elliott, BS
Individual provider Active NPI Case Manager/Care Coordinator · Moulton, AL
NPI 1760896443 · NPPES record last updated Jun 20, 2014
Key facts
- NPI
- 1760896443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 295 Hospital St
Moulton, AL 35650-1210 - Phone
- (256) 974-6697
- Fax
- (256) 341-0747
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
295 Hospital St
Moulton, AL 35650-1210
Mailing address
1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 260-7361
Other providers in Moulton, AL
- Finch Arnold Duboise, Jr
- Summer Briley Dutton
- Karley Early
- Hannah Edwards
- Elevate Counseling LLC
- Jon Elmore
- Encore Rehabiliation Inc
- Family Care First, Inc
- Amy Farley
- Fletcher Family Chiropractic, Inc.
All providers in Moulton, AL · Case Manager/Care Coordinator in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.