| NPI | 1659911121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHIA THOMAS Owner, Clinical Therapist 205-709-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 225CX0006X | |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-10-20 |