| Source For Change Counseling | |
|
2909 Crescent Ave Birmingham AL 35209-2521 | |
| (205) 585-8761 | |
| Not Available |
| Full Name | Source For Change Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2909 Crescent Ave, Birmingham, Alabama |
| Authorized Official Name and Position | Dana Smallwood (OWNER) |
| Authorized Official Contact | 2055858761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Source For Change Counseling 2448 Wine Ridge Dr Birmingham AL 35244-2426 Ph: () - | Source For Change Counseling 2909 Crescent Ave Birmingham AL 35209-2521 Ph: (205) 585-8761 |
| NPI Number | 1558799205 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558799205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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