Organization
NEW LEAF CHILD AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE RUSSO MFTA (OWNER)
(205) 718-0538
Entity
Organization
Contact information
Practice address
2825 7TH ST, TUSCALOOSA, AL 35401-1807
(205) 718-0538
Mailing address
2825 7TH ST, TUSCALOOSA, AL 35401-1807
(205) 718-0538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
02/22/2020
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