Healthcare Provider Details

I. General information

NPI: 1003230202
Provider Name (Legal Business Name): CONSUELO CLICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 TIMBER RIDGE DR
ALABASTER AL
35007-5027
US

IV. Provider business mailing address

105 TIMBER RIDGE DR
ALABASTER AL
35007-5027
US

V. Phone/Fax

Practice location:
  • Phone: 205-478-7353
  • Fax:
Mailing address:
  • Phone: 205-478-7353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2537
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2537
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: