Healthcare Provider Details

I. General information

NPI: 1023748993
Provider Name (Legal Business Name): INITIATIVE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 19TH AVE
CALERA AL
35040-6502
US

IV. Provider business mailing address

1435 19TH AVE
CALERA AL
35040-6502
US

V. Phone/Fax

Practice location:
  • Phone: 205-476-3134
  • Fax:
Mailing address:
  • Phone: 202-054-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTANY MUMPOWER
Title or Position: COUNSELOR
Credential: M.ED, LPC, NCC
Phone: 205-476-3134