Healthcare Provider Details

I. General information

NPI: 1316959794
Provider Name (Legal Business Name): PERSONAL RELATIONSHIPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 ALFORD AVE SUITE 201
BIRMINGHAM AL
35226-3199
US

IV. Provider business mailing address

1310 ALFORD AVE SUITE 201
BIRMINGHAM AL
35226-3199
US

V. Phone/Fax

Practice location:
  • Phone: 205-979-6822
  • Fax:
Mailing address:
  • Phone: 205-979-6822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BOWMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 205-979-6822