Healthcare Provider Details

I. General information

NPI: 1649159344
Provider Name (Legal Business Name): KHORA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 RICHARD ARRINGTON JR BLVD S STE 204
BIRMINGHAM AL
35209-1256
US

IV. Provider business mailing address

328 WILLOW BEND RD
BIRMINGHAM AL
35209-6936
US

V. Phone/Fax

Practice location:
  • Phone: 205-940-1330
  • Fax:
Mailing address:
  • Phone: 251-455-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAUREN FLOYD
Title or Position: OWNER, LPC
Credential: MA
Phone: 251-455-4937