Healthcare Provider Details

I. General information

NPI: 1568339257
Provider Name (Legal Business Name): BRION CARLSON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CORPORATE DR STE 200
BIRMINGHAM AL
35242-2733
US

IV. Provider business mailing address

512 MEADOW RIDGE CIR
BIRMINGHAM AL
35242-2978
US

V. Phone/Fax

Practice location:
  • Phone: 205-315-3335
  • Fax:
Mailing address:
  • Phone: 205-315-3335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05847
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05847
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: