| New Leaf Child And Family Therapy Llc | |
|
2825 7th St Tuscaloosa AL 35401-1807 | |
| (205) 718-0538 | |
| Not Available |
| Full Name | New Leaf Child And Family Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2825 7th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Danielle Russo (OWNER) |
| Authorized Official Contact | 2057180538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Child And Family Therapy Llc 2825 7th St Tuscaloosa AL 35401-1807 Ph: (205) 718-0538 | New Leaf Child And Family Therapy Llc 2825 7th St Tuscaloosa AL 35401-1807 Ph: (205) 718-0538 |
| NPI Number | 1194293712 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 02/22/2020 |
| Certification Date | 02/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194293712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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