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Organization

WEST ALABAMA COUPLE AND FAMILY THERAPY , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHA BLAKE BERRYHILL (OWNER)
(432) 413-4966
Entity
Organization

Contact information

Practice address
2825 7TH ST, TUSCALOOSA, AL 35401-1807
(432) 413-4966
Mailing address
2110 EVERGREEN LN, TUSCALOOSA, AL 35405-8223

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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