Organization
SOUTH SHELBY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WOODY (LICENSED PROFESSIONAL COUNSELOR)
(205) 617-1446
Entity
Organization
Contact information
Practice address
262 YEAGER PKWY STE F, PELHAM, AL 35124-4884
(205) 617-1446
Mailing address
265 NOTTINGHAM DR, CALERA, AL 35040-4984
(205) 617-1446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267463
—
AL
Enumeration date
05/04/2021
Last updated
11/11/2021
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