Healthcare Provider Details

I. General information

NPI: 1104767441
Provider Name (Legal Business Name): CARA BURCH ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 HILLCREST RD STE 150
MOBILE AL
36695-4018
US

IV. Provider business mailing address

4017 COTTAGE HILL RD APT 46
MOBILE AL
36609-8408
US

V. Phone/Fax

Practice location:
  • Phone: 251-289-0098
  • Fax:
Mailing address:
  • Phone: 251-289-0098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05963
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: