Healthcare Provider Details

I. General information

NPI: 1255156899
Provider Name (Legal Business Name): SEEDTIME AND HARVEST WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 21ST AVE S
BIRMINGHAM AL
35205-6903
US

IV. Provider business mailing address

1504 MCCARY ST SW
BIRMINGHAM AL
35211-3942
US

V. Phone/Fax

Practice location:
  • Phone: 205-585-0597
  • Fax:
Mailing address:
  • Phone: 205-585-0597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CLARA W PARNELL
Title or Position: CEO/FOUNDER
Credential: OTR/L
Phone: 205-585-0597