# BLACK THERAPY

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

## Provider details

- **NPI number:** 1740877331
- **Authorized official:** SHABREKIA NEAL LICSW, CPT (SOCIAL WORKER/ OWNER)
- **Authorized official phone:** (205) 614-3959

## Contact information

- **Practice address:** 1925 8TH AVE, APT 1F, TUSCALOOSA, AL 35401
- **Practice address phone:** (205) 614-3959
- **Mailing address:** 1655 MCFARLAND BLVD N STE 198, TUSCALOOSA, AL 35406-2212

## Taxonomy

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

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 12/29/2020