Organization
MGALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVIS (SENIOR DIRECTOR)
(256) 489-4008
Entity
Organization
Contact information
Practice address
2809 NEWBY RD SW STE 116, HUNTSVILLE, AL 35805-4745
(256) 489-4008
Mailing address
2809 NEWBY RD SW STE 116, HUNTSVILLE, AL 35805-4745
(256) 489-4008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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