Organization
LIFECARE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BROOKE WILLIAMSON (PRACTICE MANAGER)
(205) 331-3836
Entity
Organization
Contact information
Practice address
653 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 331-3836
(205) 293-5515
Mailing address
216 2ND ST SW, GORDO, AL 35466-2221
(205) 331-3836
(205) 293-5516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124305081
NPI
AL
Enumeration date
06/27/2020
Last updated
06/27/2020
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