Organization
MENDING HEARTS COUNSELING SERVICES OF CENTRAL ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DATES LICSW (ADMINISTRATOR)
(256) 493-5783
Entity
Organization
Contact information
Practice address
310 COOSA ST E, TALLADEGA, AL 35160-2276
(256) 493-5783
Mailing address
PO BOX 1233, TALLADEGA, AL 35161-1233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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