# TERRI MUDGE, LPC, INC.

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

## Provider details

- **NPI number:** 1194083212
- **Authorized official:** MS. TERRI CASEY MUDGE MS (LPC)
- **Authorized official phone:** (251) 343-2597

## Contact information

- **Practice address:** 5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168
- **Practice address phone:** (251) 343-2597
- **Mailing address:** 5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 04/26/2012