Individual
ABIGAIL IVES RAESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
815 ESSEX RD, BIRMINGHAM, AL 35222-3729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
7148G
AL
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/20/2022
Last updated
03/17/2026
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