Organization
SPEAKLIFE ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOMINIQUE C DILLARD LPC (CEO)
(256) 631-5410
Entity
Organization
Contact information
Practice address
2415 JORDAN LN NW, HUNTSVILLE, AL 35816-1033
(256) 631-5410
Mailing address
3812 MERIDIAN ST N, HUNTSVILLE, AL 35811-1118
(256) 631-5410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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