Organization
ROCKET CITY BEHAVIORAL HEALTH & BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW HARLESS MS-SHMA, BSW (OWNER)
(256) 585-4991
Entity
Organization
Contact information
Practice address
4095 LAWSON RIDGE DR APT 1308, MADISON, AL 35757-7232
(256) 585-4991
(256) 314-9439
Mailing address
4095 LAWSON RIDGE DR APT 1308, MADISON, AL 35757-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/22/2024
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