Provider Demographics
NPI:1548236458
Name:MORAN, HELEN TERESA (MD)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:TERESA
Last Name:MORAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2845
Mailing Address - Country:US
Mailing Address - Phone:205-978-7511
Mailing Address - Fax:205-978-7277
Practice Address - Street 1:1025 MONTGOMERY HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-2845
Practice Address - Country:US
Practice Address - Phone:205-978-7511
Practice Address - Fax:205-978-7277
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000043392084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4006421OtherAETNA
AL1585316OtherUNITED BEHAVIORAL HEALTH
AL51079074OtherBLUE CROSS IN-STATE
AL721389024T5XH1WOtherMAGELLAN
AL123320OtherVALUE OPTIONS
AL51500269OtherBLUE CROSS OUT-OF-STATE
AL225693OtherCOMPSY