Organization
UNLIMITED POTENTIAL THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY LATRICE COCHRAN DSW, LICSW, PIP (OWNER)
(334) 546-5752
Entity
Organization
Contact information
Practice address
6533 BERRYDALE DR, MONTGOMERY, AL 36116-4363
(334) 546-5752
Mailing address
6533 BERRYDALE DR, MONTGOMERY, AL 36116-4363
(334) 546-5752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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