| Reaching Wholeness, Llc | |
|
5140 Highway 17 Helena AL 35080-3513 | |
| (205) 202-0383 | |
| Not Available |
| Full Name | Reaching Wholeness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5140 Highway 17, Helena, Alabama |
| Authorized Official Name and Position | Karmel Laurene Mayo (OWNER) |
| Authorized Official Contact | 2052020383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching Wholeness, Llc 3674 Helena Rd Helena AL 35080-3246 Ph: (205) 202-0383 | Reaching Wholeness, Llc 5140 Highway 17 Helena AL 35080-3513 Ph: (205) 202-0383 |
| NPI Number | 1104412725 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104412725 | NPI | - | NPPES |
| 1528627171 | Other | AL | NPI- INDIVIDUAL |
| 4336 | Other | AL | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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