Healthcare Provider Details

I. General information

NPI: 1902134919
Provider Name (Legal Business Name): KOLBIE MICHELLE WHITE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 PALMER RD STE E
MADISON AL
35758-3186
US

IV. Provider business mailing address

9 TUBMAN DR STE 1
MADISON AL
35756-2300
US

V. Phone/Fax

Practice location:
  • Phone: 256-617-7002
  • Fax:
Mailing address:
  • Phone: 256-617-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05096
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: