Organization
VERLEE V YOUNG LCSW ACSW PIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEN MARIE MATTHEWS LPC (ASSISTANT)
(251) 269-5936
Entity
Organization
Contact information
Practice address
307 S MCKENZIE ST STE 111, FOLEY, AL 36535-1947
(251) 269-5936
(251) 974-3113
Mailing address
307 S MCKENZIE ST STE 111, FOLEY, AL 36535-1947
(251) 269-5936
(251) 974-3113
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1621C
AL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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