Organization
SAMATA BEHAVIORAL HEALTH AND WELLNESS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN KRACZKOWSKI LPC (OWNER)
(334) 470-9395
Entity
Organization
Contact information
Practice address
128 S MAIN ST, ENTERPRISE, AL 36330-2543
(844) 472-6282
(855) 626-0476
Mailing address
128 S MAIN ST, ENTERPRISE, AL 36330-2543
(844) 472-6282
(855) 626-0476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/10/2019
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