Organization
METIME MOGUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNKEISSA CANTRELL (OWNER)
(334) 440-6437
Entity
Organization
Contact information
Practice address
1375 FEDERAL DR, MONTGOMERY, AL 36107-1121
(334) 440-6437
Mailing address
443 BURTON AVE, MONTGOMERY, AL 36104-5135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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