# BLUE COVE PSYCHOTHERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154906584
- **Authorized official:** SASHA RAE REYNOLDS-NEU LICSW (THERAPIST)
- **Authorized official phone:** (205) 420-1742

## Contact information

- **Practice address:** 917 WILLOWBROOK DR SE \# F3, HUNTSVILLE, AL 35802-3263
- **Practice address phone:** (205) 420-1742
- **Mailing address:** 3686 SIMPSON POINT RD, GRANT, AL 35747-7913
- **Mailing address phone:** (205) 420-1742

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 03/17/2021