Organization
WISE CENTER FOR DBT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA THOMAS LCSW (CLINICAL DIRECTOR)
(205) 747-0758
Entity
Organization
Contact information
Practice address
17 OFFICE PARK CIR STE 100, MOUNTAIN BRK, AL 35223-2561
(205) 747-0758
Mailing address
17 OFFICE PARK CIR STE 100, MOUNTAIN BRK, AL 35223-2561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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