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 |