Organization
DOVE RENEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOSS (CO-OWNER)
(256) 601-1064
Entity
Organization
Contact information
Practice address
772 MCCURDY AVE S, RAINSVILLE, AL 35986-5211
(256) 601-1064
(256) 285-3713
Mailing address
772 MCCURDY AVE S, RAINSVILLE, AL 35986-5211
(256) 601-1064
(256) 285-3713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
04/01/2021
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