| Gardenia Grace Counseling, Llc | |
|
2105 Devereux Cir Vestavia AL 35243-2563 | |
| (205) 319-9152 | |
| Not Available |
| Full Name | Gardenia Grace Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2105 Devereux Cir, Vestavia, Alabama |
| Authorized Official Name and Position | Alexandria Henderson (OWNER/COUNSELOR) |
| Authorized Official Contact | 2055680170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardenia Grace Counseling, Llc 3025 Piper Way Hoover AL 35244-3378 Ph: (205) 568-0170 | Gardenia Grace Counseling, Llc 2105 Devereux Cir Vestavia AL 35243-2563 Ph: (205) 319-9152 |
| NPI Number | 1336992130 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336992130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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