Individual
EBONY HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 JACKSON WAY SW, JACKSONVILLE, AL 36265-4306
(256) 239-5662
Mailing address
4023 FIELDS RUN, PIKE ROAD, AL 36064-0079
(404) 977-8083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4807
AL
Other
Enumeration date
05/22/2020
Last updated
08/27/2025
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