Organization
TARA VINES , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA M VINES LPC (PROFESSIONAL COUNSELOR)
(205) 422-9547
Entity
Organization
Contact information
Practice address
2324 VALLEYDALE RD, HOOVER, AL 35244-2078
(205) 422-9547
Mailing address
404 BOWER CT, BIRMINGHAM, AL 35244-3206
(205) 422-9547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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