Individual
MR. MICHAEL JEROME STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 BOB WALLACE AVE SW STE 205, HUNTSVILLE, AL 35805-4064
(256) 690-3943
Mailing address
4100 MARKET ST STE 100, HUNTSVILLE, AL 35808-3007
(256) 203-3883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AL
101YP2500X
Professional Counselor
—
AL
103TP2701X
Group Psychotherapy Psychologist
—
AL
106H00000X
Marriage & Family Therapist
—
AL
133N00000X
Nutritionist
—
AL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
AL
171400000X
Health & Wellness Coach
—
AL
173C00000X
Reflexologist
—
AL
174200000X
Meals Provider
—
AL
174H00000X
Health Educator
—
AL
175F00000X
Naturopath
Primary
—
AL
175L00000X
Homeopath
—
AL
225700000X
Massage Therapist
—
AL
261QI0500X
Infusion Therapy Clinic/Center
—
AL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
AL
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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