Healthcare Provider Details

I. General information

NPI: 1790622579
Provider Name (Legal Business Name): GRAHAM WARREN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PROVIDENCE PARK STE 250
BIRMINGHAM AL
35242-4787
US

IV. Provider business mailing address

1401 PROVIDENCE PARK STE 250
BIRMINGHAM AL
35242-4787
US

V. Phone/Fax

Practice location:
  • Phone: 205-374-5247
  • Fax:
Mailing address:
  • Phone:
  • 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: GRAHAM WARRN
Title or Position: MEMBER
Credential:
Phone: 205-374-5247