Organization · Type 2 NPI

Provision 2, LLC

Behavioral Neurology & Neuropsychiatry Physician · Cullman, AL

NPI number 1366119802 Active

Practice location

210 Main Ave SW
Cullman, AL 35055-3346

Call (256) 339-9979 Map

Mailing address

340 County Road 1635
Cullman, AL 35058

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician	207P00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
Adult Medicine Physician	207QA0505X	None listed
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Behavioral Neurology & Neuropsychiatry Physician Primary	2084B0040X	None listed
Psychiatry Physician	2084P0800X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
Geriatric Psychiatry Physician	2084P0805X	None listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Another provider at this address

Robert W. Smith, MDFamily Medicine Physician Cullman, AL NPI 1508937723

NPI record

NPI: 1366119802
Entity type: Organization (Type 2)
Issued: Aug 24, 2021
Last updated: Jan 17, 2025
Status: Active

Other names

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Sound Mind TMS Therapy · doing business as
Sound Mind TMS Therapy · doing business as

Authorized official

Dr. Robert Wayne Smith, MD
Owner
(256) 339-9979

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366119802

Provision 2, LLC's National Provider Identifier is 1366119802, issued on Aug 24, 2021. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Cullman, AL. The record was last updated on Jan 17, 2025.