# REBEL MINDS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Katie Newberry LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154142529
- **Authorized official:** KATIE MICHELLE NEWBERRY LICSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (256) 227-8279

## Contact information

- **Practice address:** 1104 US-31, HARTSELLE, AL 35640
- **Practice address phone:** (256) 502-9066
- **Mailing address:** 2406 BROOKLINE CT SW, DECATUR, AL 35603-1053
- **Mailing address phone:** (256) 227-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2024
- **Last updated:** 10/18/2024