| Counselormichlimited Liability Company | |
|
3762 Moffett Rd Ste A Mobile AL 36618-1222 | |
| (251) 447-3703 | |
| Not Available |
| Full Name | Counselormichlimited Liability Company |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3762 Moffett Rd Ste A, Mobile, Alabama |
| Authorized Official Name and Position | Michelle Edwards (LPC/CEO) |
| Authorized Official Contact | 2514473703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counselormichlimited Liability Company 304 Chidester Ave Mobile AL 36607-2119 Ph: (251) 447-3703 | Counselormichlimited Liability Company 3762 Moffett Rd Ste A Mobile AL 36618-1222 Ph: (251) 447-3703 |
| NPI Number | 1275019929 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275019929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2306 (Alabama) | Primary |
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