Healthcare Provider Details

I. General information

NPI: 1073246278
Provider Name (Legal Business Name): PIECE BY PIECE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 12/18/2022
Certification Date: 12/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 BEL AIR BLVD STE 31
MOBILE AL
36606-3529
US

IV. Provider business mailing address

605 BEL AIR BLVD STE 31
MOBILE AL
36606-3529
US

V. Phone/Fax

Practice location:
  • Phone: 251-454-3911
  • Fax:
Mailing address:
  • Phone: 251-386-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIA WILLIAMS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 251-386-5444