Healthcare Provider Details

I. General information

NPI: 1710698824
Provider Name (Legal Business Name): KRISTI JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 PRESIDENTS DR STE B-21
MONTGOMERY AL
36116-1632
US

IV. Provider business mailing address

PO BOX 6474
MONTGOMERY AL
36106-6474
US

V. Phone/Fax

Practice location:
  • Phone: 334-730-5880
  • Fax:
Mailing address:
  • Phone: 334-730-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8449
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05064
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: