Organization
PEULTHAI HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEARL PHILLIPS PH.D (CHAIR)
(256) 813-5374
Entity
Organization
Contact information
Practice address
14881 231/431 HIGHWAY NORTH, HAZEL GREEN, AL 35750
(256) 813-5374
Mailing address
PO BOX 184, NORMAL, AL 35762-0184
(334) 498-9466
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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