Healthcare Provider Details

I. General information

NPI: 1508773144
Provider Name (Legal Business Name): OAK LEAF COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 2ND AVE SW # 101
CULLMAN AL
35055-4106
US

IV. Provider business mailing address

427 2ND AVE SW # 101
CULLMAN AL
35055-4106
US

V. Phone/Fax

Practice location:
  • Phone: 256-615-1102
  • Fax:
Mailing address:
  • Phone: 256-615-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HOLLY POWELL
Title or Position: OWNER, THERAPIST
Credential: LMFT
Phone: 256-615-1102