Healthcare Provider Details

I. General information

NPI: 1144785940
Provider Name (Legal Business Name): VALLIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3776 SULLIVAN ST STE D
MADISON AL
35758-2344
US

IV. Provider business mailing address

3776 SULLIVAN ST STE D
MADISON AL
35758-2344
US

V. Phone/Fax

Practice location:
  • Phone: 256-325-0467
  • Fax: 256-325-0469
Mailing address:
  • Phone: 256-325-0467
  • Fax: 256-325-0469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. BROOKE NELSON MURPHY
Title or Position: FOUNDER/OWNER
Credential: MS, LPC, NCC, CCTP
Phone: 256-325-0467