Individual
SHIVANI BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6348 PICCADILLY SQUARE DR, MOBILE, AL 36609-5303
(251) 300-0836
Mailing address
6348 PICCADILLY SQUARE DR, MOBILE, AL 36609-5303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4567
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/25/2022
Last updated
03/25/2022
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