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NPI Code Detail

MEDICARE: TRUE HAVEN COUNSELING LLC

MEDICARE: TRUE HAVEN COUNSELING LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1700738911
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE HAVEN COUNSELING LLC
Provider Business Mailing Address
First Line : 2013 KENTUCKY AVE
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1952
Country : US
Telephone Number : 205-440-1992
Fax Number :
Provider Business Practice Location Address
First Line : 2013 KENTUCKY AVE
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1952
Country : US
Telephone Number : 205-440-1992
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : AMANDA WILSON
Credential : ALC, MFT-A, NCC
Telephone Number : 205-440-1992
Provider Enumeration Date : 02/11/2026
Last Update Date : 03/05/2026

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