Healthcare Provider Details

I. General information

NPI: 1992840896
Provider Name (Legal Business Name): ALABAMA PSYCHOTHERAPY AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 BEACON PKWY W STE 203
BIRMINGHAM AL
35209-3131
US

IV. Provider business mailing address

631 BEACON PKWY W STE 203
BIRMINGHAM AL
35209-3131
US

V. Phone/Fax

Practice location:
  • Phone: 205-912-2000
  • Fax:
Mailing address:
  • Phone: 205-912-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: GINA HELMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 205-912-2000