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2225 Drake Ave Sw Ste 15 Huntsville AL 35805-5189 | |
| (256) 321-6112 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2225 Drake Ave Sw Ste 15, Huntsville, Alabama |
| Authorized Official Name and Position | Cytique Davis (OWNER/OPERATOR) |
| Authorized Official Contact | 2563216112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1428 Weatherly Rd Se Ste 102 Huntsville AL 35803-1181 Ph: (256) 321-6112 | 2225 Drake Ave Sw Ste 15 Huntsville AL 35805-5189 Ph: (256) 321-6112 |
| NPI Number | 1700587565 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700587565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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