Healthcare Provider Details

I. General information

NPI: 1457175614
Provider Name (Legal Business Name): ALICIA GILBERT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5961 CHALKVILLE MOUNTAIN LN STE A
BIRMINGHAM AL
35235-3496
US

IV. Provider business mailing address

7510 CARRIAGE CV
TRUSSVILLE AL
35173-2854
US

V. Phone/Fax

Practice location:
  • Phone: 205-705-0195
  • Fax: 205-994-6013
Mailing address:
  • Phone: 205-533-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberALC03938
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: