Organization
SONFOREVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE EALEY ALC (DIRECTOR)
(770) 480-2522
Entity
Organization
Contact information
Practice address
894 E MAIN ST, HEADLAND, AL 36345-1854
(334) 794-2113
Mailing address
894 E MAIN ST, HEADLAND, AL 36345-1854
(334) 794-2113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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