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NPI Code Detail

MEDICARE: DAYMARK PASTORAL COUNSELING

MEDICARE: DAYMARK PASTORAL COUNSELING
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
1101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1639362411
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYMARK PASTORAL COUNSELING
Provider Business Mailing Address
First Line : PO BOX 59768
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35259-9768
Country : US
Telephone Number : 205-871-3332
Fax Number :
Provider Business Practice Location Address
First Line : 402 OFFICE PARK DR
Second Line : SUITE 220
City : MOUNTAIN BROOK
State : AL
Zip : 35223-2417
Country : US
Telephone Number : 205-871-3332
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. GORDON BALS
Credential :
Telephone Number : 205-871-3332
Provider Enumeration Date : 08/24/2007
Last Update Date : 08/24/2007

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Directions to “DAYMARK PASTORAL COUNSELING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.