Organization
NEW SEASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYA AMANI RANDALL MSW (SUBSTANCE THERAPIST)
(856) 630-8158
Entity
Organization
Contact information
Practice address
2500 4TH AVE S, BIRMINGHAM, AL 35233-2521
(856) 630-8158
Mailing address
308 BRANDY LN, HARPERSVILLE, AL 35078-5313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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