Healthcare Provider Details

I. General information

NPI: 1275631095
Provider Name (Legal Business Name): CYNTHIA HOOD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GLENWOOD LN
BIRMINGHAM AL
35242-5700
US

IV. Provider business mailing address

3421 MOSS BROOK LN
BIRMINGHAM AL
35243-4951
US

V. Phone/Fax

Practice location:
  • Phone: 205-795-3368
  • Fax: 205-969-4854
Mailing address:
  • Phone: 205-969-2880
  • Fax: 205-969-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1008C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: