Organization
ENTERPRISE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA MOORE BOOKER PH.D, LPC-S, IMH-E (OWNER & COUNSELOR)
(334) 447-1717
Entity
Organization
Contact information
Practice address
117 S MAIN ST, ENTERPRISE, AL 36330-2542
(334) 447-1717
Mailing address
117 S MAIN ST, ENTERPRISE, AL 36330-2542
(334) 447-1717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093325268
NPI
AL
01
—
1417474776
NPI
AL
Enumeration date
07/10/2021
Last updated
07/10/2021
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