Organization
REBEL HEARTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER THOMAS LMFT (OWNER, CLINICIAN)
(205) 737-0910
Entity
Organization
Contact information
Practice address
4124 WATERMELON RD STE B, NORTHPORT, AL 35473-5252
(205) 737-0910
Mailing address
4124 WATERMELON RD STE B, NORTHPORT, AL 35473-5252
(205) 737-0910
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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