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Organization
TEA OF LIFE HOLISTIC BEHAVIORAL HEALTH THERAPY, LLC
Active
Organization
TEA OF LIFE HOLISTIC BEHAVIORAL HEALTH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNISIA LONDON LICSW, PIP (OWNER)
(251) 401-5602
Entity
Organization
Contact information
Practice address
34124 BURWOOD DR, SPANISH FORT, AL 36527-7301
(251) 401-5602
Mailing address
34124 BURWOOD DR, SPANISH FORT, AL 36527-7301
(251) 401-5602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/10/2022
Last updated
01/11/2022
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