Healthcare Provider Details

I. General information

NPI: 1497361745
Provider Name (Legal Business Name): NARROW ROAD COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3168 MIDTOWN PARK S STE E
MOBILE AL
36606-4123
US

IV. Provider business mailing address

3168 MIDTOWN PARK S STE E
MOBILE AL
36606-4123
US

V. Phone/Fax

Practice location:
  • Phone: 251-421-4313
  • Fax:
Mailing address:
  • Phone: 251-421-4313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET HANNAHAN
Title or Position: PRESIDENT
Credential: PHD
Phone: 251-421-4313