| NPI | 1427308139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN BIRT Therapist 334-744-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3077) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006956) |
| 106H00000X Marriage & Family Therapist (Licence: AL 380) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001269) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-12-05 |