Healthcare Provider Details

I. General information

NPI: 1003601519
Provider Name (Legal Business Name): EMOTION THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 2ND AVE N APT 514
BIRMINGHAM AL
35203-2064
US

IV. Provider business mailing address

1710 2ND AVE N APT 514
BIRMINGHAM AL
35203-2064
US

V. Phone/Fax

Practice location:
  • Phone: 205-643-2762
  • Fax: 205-708-2341
Mailing address:
  • Phone: 205-643-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FANICY SEARS
Title or Position: CLINICAL DIRECTOR
Credential: LPC-S, LMFT, NCC
Phone: 205-440-3858