Organization
ORIGINS COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DWIGHT HALL FACHE (MANAGING PARTNER)
(806) 517-8339
Entity
Organization
Contact information
Practice address
4351 FAIR MEADOW LN, PIKE ROAD, AL 36064-2603
(806) 517-8339
Mailing address
4351 FAIR MEADOW LN, PIKE ROAD, AL 36064-2603
(806) 517-8339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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