| Ivy Leaf Counseling Services | |
|
578 Azalea Rd Ste 112 Mobile AL 36609-1551 | |
| (251) 300-8930 | |
| Not Available |
| Full Name | Ivy Leaf Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 578 Azalea Rd Ste 112, Mobile, Alabama |
| Authorized Official Name and Position | Lisa Beth Williams (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2295063136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Leaf Counseling Services 10921 Heritage Cir N Mobile AL 36608-8015 Ph: (229) 506-3136 | Ivy Leaf Counseling Services 578 Azalea Rd Ste 112 Mobile AL 36609-1551 Ph: (251) 300-8930 |
| NPI Number | 1538635768 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538635768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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