Organization
BLUE COVE PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA RAE REYNOLDS-NEU LICSW (THERAPIST)
(205) 420-1742
Entity
Organization
Contact information
Practice address
917 WILLOWBROOK DR SE # F3, HUNTSVILLE, AL 35802-3263
(205) 420-1742
Mailing address
3686 SIMPSON POINT RD, GRANT, AL 35747-7913
(205) 420-1742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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