Organization
KREATING YOUR PATH FIRM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNECE M SMITH LPC, NCC (CEO, OWER)
(205) 643-5644
Entity
Organization
Contact information
Practice address
2100A SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1377
(205) 440-2685
(833) 289-6535
Mailing address
429 GREEN SPRINGS HWY STE 161, BIRMINGHAM, AL 35209-4938
(206) 642-5644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/07/2020
Last updated
09/25/2023
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