Organization
THE BUTTERFLY EFFECT THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA BONCIA BLACKLEDGE BURR LICSW (OWNER)
(205) 774-8442
Entity
Organization
Contact information
Practice address
7753 1ST AVE S, BIRMINGHAM, AL 35206-4312
(205) 774-8442
(205) 278-8769
Mailing address
304 27TH AVE NW, CENTER POINT, AL 35215-2424
(205) 774-8442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
02/17/2022
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