Organization
THE FULL PITCHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALANDRA WHALEY LPC (OWNER/MANAGING MEMBER)
(205) 239-1690
Entity
Organization
Contact information
Practice address
44 HUGHES RD STE 1050, MADISON, AL 35758-3046
(256) 631-7898
Mailing address
44 HUGHES RD STE 1050, MADISON, AL 35758-3046
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851760250
NPI 1
AL
Enumeration date
03/31/2021
Last updated
08/25/2021
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