Organization
THE SHAPING: THERAPEUTIC & WELLNESS SERVICES
Active
Other names
The Shaping: Therapeutic & Wellness Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELENE CLARISSA KENDALL-HENDERSON (OWNER)
(334) 419-4605
Entity
Organization
Contact information
Practice address
2324 MILL RIDGE DR, MONTGOMERY, AL 36117-4780
(334) 419-4605
Mailing address
2324 MILL RIDGE DR, MONTGOMERY, AL 36117-4780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
12/09/2024
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