Organization
CLEVELAND BEHAVIORAL THERAPY LLC
Active
Other names
The Balanced Life LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA DAWN CLEVELAND LPC, NCC (LICENSED COUNSELOR)
(256) 603-1381
Entity
Organization
Contact information
Practice address
9238 MADISON BLVD, MADISON, AL 35758-9100
(256) 603-1381
Mailing address
11019 DOVE DR, MADISON, AL 35756-4301
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2919
AL
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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