Healthcare Provider Details
I. General information
NPI: 1619855616
Provider Name (Legal Business Name): PLOOF THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
319 AL HIGHWAY 75 N STE B
ALBERTVILLE AL
35951-3837
US
IV. Provider business mailing address
319 AL HIGHWAY 75 N STE B
ALBERTVILLE AL
35951-3837
US
V. Phone/Fax
- Phone: 256-513-9220
- Fax: 256-223-9244
- Phone: 256-513-9220
- Fax: 256-223-9244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DENNIS
BRADLEY
PLOOF
Title or Position: COUNSELOR/OWNER
Credential: LPC
Phone: 256-513-9220