Organization
CENTER FOR MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANGELA VICKERS MS (LMFT)
(256) 881-5352
Entity
Organization
Contact information
Practice address
116 LILY FLAGG ROAD, SUITE D, HUNTSVILLE, AL 35802-3066
(256) 881-5352
(256) 881-5355
Mailing address
116 LILY FLAGG RD SW, SUITE D, HUNTSVILLE, AL 35802-3066
(256) 881-5352
(256) 881-5355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
02/12/2015
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