MEDICARE: CARA BURCH ALC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ALC05963	AL

General Provider Information

NPI Number	:	1104767441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA BURCH ALC

Provider Business Mailing Address
First Line	:	4017 COTTAGE HILL RD APT 46
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-8408
Country	:	US
Telephone Number	:	251-289-0098
Fax Number	:

Provider Business Practice Location Address
First Line	:	891 HILLCREST RD STE 150
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-4018
Country	:	US
Telephone Number	:	251-289-0098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “ CARA BURCH ALC” Practice Location

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