Healthcare Provider Details

I. General information

NPI: 1144341678
Provider Name (Legal Business Name): SOLANGE RIBEIRO LPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PROVIDENCE PARK SUITE 250
BIRMINGHAM AL
35242-4697
US

IV. Provider business mailing address

1800 PROVIDENCE PARK SUITE 250
BIRMINGHAM AL
35242-4697
US

V. Phone/Fax

Practice location:
  • Phone: 205-949-0960
  • Fax: 205-949-0965
Mailing address:
  • Phone: 205-949-0960
  • Fax: 205-949-0965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2074
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: