Organization
PSYCHIATRY 280 COUNSELING SERVICES INC
Active
Organization
PSYCHIATRY 280 COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE GOULD-HARTLINE APRN (PROVIDER/OWNER)
(205) 968-1227
Entity
Organization
Contact information
Practice address
2803 GREYSTONE COMMERCIAL BLVD STE 12, BIRMINGHAM, AL 35242-9603
(205) 968-1227
(205) 968-1229
Mailing address
2803 GREYSTONE COMMERCIAL BLVD STE 12, BIRMINGHAM, AL 35242-9603
(205) 968-1227
(205) 968-1229
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1048511
AL
Other
Enumeration date
07/23/2015
Last updated
03/15/2018
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