Healthcare Provider Details

I. General information

NPI: 1285117945
Provider Name (Legal Business Name): ESSENTIAL CONNECTIONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 LORNA RD STE 240
BIRMINGHAM AL
35244-3003
US

IV. Provider business mailing address

3825 LORNA RD STE 240
BIRMINGHAM AL
35244-3003
US

V. Phone/Fax

Practice location:
  • Phone: 205-985-4939
  • Fax: 205-985-4431
Mailing address:
  • Phone: 205-985-4939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN M. WOODS
Title or Position: CEO/OWNER
Credential:
Phone: 205-985-4939