Organization
RAVEN HEART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIMILLIAN ALEXANDER HAMKE MA, LPC (OWNER)
(256) 203-6558
Entity
Organization
Contact information
Practice address
9694 MADISON BLVD STE A10, MADISON, AL 35758-9137
(256) 203-6558
Mailing address
26 QUEENSLAND DR SW, HUNTSVILLE, AL 35824-4114
(916) 320-9041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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