| I Dare You To Heal, Llc | |
|
3408 Wall Triana Hwy Suite 6527 Huntsville AL 35813-2021 | |
| (702) 803-2463 | |
| Not Available |
| Full Name | I Dare You To Heal, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3408 Wall Triana Hwy, Huntsville, Alabama |
| Authorized Official Name and Position | Lanecha Conner (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7028032463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Dare You To Heal, Llc 3408 Wall Triana Hwy Suite 6527 Huntsville AL 35813-2021 Ph: (702) 803-2463 | I Dare You To Heal, Llc 3408 Wall Triana Hwy Suite 6527 Huntsville AL 35813-2021 Ph: (702) 803-2463 |
| NPI Number | 1790498533 |
|---|---|
| Provider Enumeration Date | 12/26/2022 |
| Last Update Date | 11/10/2024 |
| Certification Date | 11/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790498533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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