Healthcare Provider Details

I. General information

NPI: 1922902832
Provider Name (Legal Business Name): LAURA KING MA, LPC, ICAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 COGSWELL AVE
PELL CITY AL
35125-1651
US

IV. Provider business mailing address

820 GARMON RD
GADSDEN AL
35901-8306
US

V. Phone/Fax

Practice location:
  • Phone: 256-504-5140
  • Fax: 256-413-0198
Mailing address:
  • Phone: 256-504-5140
  • Fax: 256-413-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04292
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: