Healthcare Provider Details

I. General information

NPI: 1851188643
Provider Name (Legal Business Name): CATTIYAN THIEN HUONG TRAN MA, ALC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OFFICE PARK CIR STE 306
MOUNTAIN BRK AL
35223-2692
US

IV. Provider business mailing address

1633 13TH AVE S APT 109
BIRMINGHAM AL
35205-5503
US

V. Phone/Fax

Practice location:
  • Phone: 205-730-6570
  • Fax:
Mailing address:
  • Phone: 251-238-9241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberALC05235
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: