| Mrs Tierra Ezell, ALC | |
|
7643 Broome Ct, Theodore, AL 36582-6312 | |
| (251) 402-9072 | |
| Not Available |
| Full Name | Mrs Tierra Ezell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 7643 Broome Ct, Theodore, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467149104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ALC04247 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tierra Ezell, ALC 7643 Broome Ct, Theodore, AL 36582-6312 Ph: (251) 402-9072 | Mrs Tierra Ezell, ALC 7643 Broome Ct, Theodore, AL 36582-6312 Ph: (251) 402-9072 |
Amy Hanes Daniels, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5821 Rangeline Rd Ste 214, Theodore, AL 36582 Phone: 251-366-1710 | |
Kim Elizabeth Dyson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5600 Gulf Creek Cir, Theodore, AL 36582 Phone: 251-209-1505 Fax: 251-433-5901 |