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Organization

THE MENTAL BISTRO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY KIMBROUGH LICSW-S;PIP (THERAPIST/OWNER)
(256) 436-7460
Entity
Organization

Contact information

Practice address
6595 HIGHWAY 43 BLDG D, SPRUCE PINE, AL 35585-4223
(256) 436-7460
Mailing address
6595 HIGHWAY 43 BLDG D, SPRUCE PINE, AL 35585-4223
(256) 436-7460

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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