Organization
CARING CONFIDENTIAL COUNSLEING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L FORMAN LCSW,PIP (OWNER)
(205) 993-4556
Entity
Organization
Contact information
Practice address
3480 BROAD STREET, PHIL CAMPBELL, AL 35581-6141
(205) 993-4556
(205) 993-4556
Mailing address
287 MON DYE RD, PHIL CAMPBELL, AL 35581-6141
(205) 993-4556
(205) 993-4556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140690
—
AL
Enumeration date
09/05/2013
Last updated
09/05/2013
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