Organization
PSYCHOTHERAPY/ CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESOPHIA CLAYBORN LICSW-PIP (PSYCHOTHERAPIST/CLINICIAN/SOLE PROP)
(256) 509-3465
Entity
Organization
Contact information
Practice address
2622 JORDAN LN NW, HUNTSVILLE, AL 35816-1014
(256) 509-3465
Mailing address
PO BOX 106, RYLAND, AL 35767-0106
(256) 509-3465
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
02/05/2021
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