Healthcare Provider Details

I. General information

NPI: 1265277099
Provider Name (Legal Business Name): MONICA CAUTHEN-COOPER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 06/25/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 GREENWOOD CROSSINGS COURT SUITE 103
BESSEMER AL
35022
US

IV. Provider business mailing address

315 GLADYS ST
BESSEMER AL
35020-7008
US

V. Phone/Fax

Practice location:
  • Phone: 205-470-8273
  • Fax:
Mailing address:
  • Phone: 205-470-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC04856
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: