Healthcare Provider Details

I. General information

NPI: 1124952841
Provider Name (Legal Business Name): INCLUSIVE PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHASE CORPORATE DR STE 400
HOOVER AL
35244-7001
US

IV. Provider business mailing address

1 CHASE CORPORATE DR STE 400
HOOVER AL
35244-7001
US

V. Phone/Fax

Practice location:
  • Phone: 205-506-2269
  • Fax:
Mailing address:
  • Phone: 205-506-2269
  • 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: KELLY LANSDEN
Title or Position: OWNER
Credential: LPC, NCC
Phone: 205-506-2269