| Seaside Sparrow Counseling, Llc | |
|
6475 Spanish Fort Blvd Ste B Spanish Fort AL 36527-9403 | |
| (251) 303-5840 | |
| Not Available |
| Full Name | Seaside Sparrow Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6475 Spanish Fort Blvd Ste B, Spanish Fort, Alabama |
| Authorized Official Name and Position | Katherine Marie Bridges (OWNER) |
| Authorized Official Contact | 2053655847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Sparrow Counseling, Llc 6475 Spanish Fort Blvd Ste B Spanish Fort AL 36527-9403 Ph: (251) 303-5840 | Seaside Sparrow Counseling, Llc 6475 Spanish Fort Blvd Ste B Spanish Fort AL 36527-9403 Ph: (251) 303-5840 |
| NPI Number | 1790380517 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790380517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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