| Graham Collaborative, Llc | |
|
911 Plantation Blvd Ste A Fairhope AL 36532-3148 | |
| (504) 321-1380 | |
| Not Available |
| Full Name | Graham Collaborative, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 911 Plantation Blvd Ste A, Fairhope, Alabama |
| Authorized Official Name and Position | Brittany Kayla Graham (OWNER / THERAPIST) |
| Authorized Official Contact | 6015084993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Collaborative, Llc 911 Plantation Blvd Ste A Fairhope AL 36532-3148 Ph: (504) 321-1380 | Graham Collaborative, Llc 911 Plantation Blvd Ste A Fairhope AL 36532-3148 Ph: (504) 321-1380 |
| NPI Number | 1245966787 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245966787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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