Organization
BLISSFUL MIND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TIPPIT LPC (THERAPIST)
(256) 346-5505
Entity
Organization
Contact information
Practice address
207 EUSTIS AVE SE STE D, HUNTSVILLE, AL 35801-4234
(256) 346-5505
Mailing address
112 PINEDA DR, HUNTSVILLE, AL 35811-8088
(256) 655-6464
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2745
AL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2745
AL
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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