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Organization

WITHOUT WALLS COUNSELING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THANDI KENYETTA WELLS ED.S, LPC (THERAPIST/ AUTHORIZED AGENT)
(205) 919-3974
Entity
Organization

Contact information

Practice address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1302
(205) 414-7426
(877) 308-8259
Mailing address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1302
(205) 414-7426
(877) 308-8259

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
106H00000X
Marriage & Family Therapist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13980211
CAQH
AL
Enumeration date
04/26/2017
Last updated
04/26/2017
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