Organization
SEQUEL ALLIANCE FAMILY SERVICES, LLC
Active
Parent organization
SEQUEL TSI HOLDING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUEL TSI HOLDING, LLC
Authorized official
MS. MARY CAUDLE (CBO)
(256) 880-3339
Entity
Organization
Contact information
Practice address
14 EMERSON LN, KELLOGG, ID 83837-2454
(208) 783-0660
(208) 783-7542
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6478
(256) 880-3339
(256) 880-9569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
W132383
ID
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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