Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC
Active
Organization
BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHEENA DAVIS M.S., ALC (OWNER)
(209) 752-0290
Entity
Organization
Contact information
Practice address
7 E 13TH ST, SUITE 227, ANNISTON, AL 36201-4601
(334) 392-0105
Mailing address
PO BOX 19862, BIRMINGHAM, AL 35219-0862
(334) 392-0105
(888) 892-5809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2251A
AL
101YM0800X
Mental Health Counselor
C2251A
AL
103K00000X
Behavior Analyst
C2251A
AL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/19/2015
Last updated
04/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up