Organization
GENUINE THERAPEUTIC CARE LLC
Active
Other names
Genuine Therapeutic Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFINI MONIQUE CHANDLER LPC (LICENSED PROFESSIONAL COUNSELOR)
(334) 505-9368
Entity
Organization
Contact information
Practice address
44 HUGHES RD STE 1050, MADISON, AL 35758-3046
(256) 617-2990
Mailing address
106 COTTON BEND DR SW, HUNTSVILLE, AL 35824-2906
(334) 505-9368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649963596
NPI 1
AL
Enumeration date
04/12/2024
Last updated
04/12/2024
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