Healthcare Provider Details

I. General information

NPI: 1528159415
Provider Name (Legal Business Name): SAMARITAN COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2872 ACTON RD
BIRMINGHAM AL
35243-2502
US

IV. Provider business mailing address

2872 ACTON RD
BIRMINGHAM AL
35243-2502
US

V. Phone/Fax

Practice location:
  • Phone: 205-967-3660
  • Fax: 205-967-3664
Mailing address:
  • Phone: 205-967-3660
  • Fax: 205-967-3664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RENE BRELAND
Title or Position: DIRECTOR
Credential:
Phone: 205-967-3660