Organization
GARDENIA GRACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA HENDERSON M.ED., LPC, NCC (OWNER/COUNSELOR)
(205) 568-0170
Entity
Organization
Contact information
Practice address
2105 DEVEREUX CIR, VESTAVIA, AL 35243-2563
(205) 319-9152
Mailing address
3025 PIPER WAY, HOOVER, AL 35244-3378
(205) 568-0170
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
08/13/2024
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