Healthcare Provider Details

I. General information

NPI: 1356205322
Provider Name (Legal Business Name): TIANA WELCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 10TH ST
TUSCUMBIA AL
35674-2717
US

IV. Provider business mailing address

139 COX CREEK PKWY S # 110
FLORENCE AL
35630-3264
US

V. Phone/Fax

Practice location:
  • Phone: 256-507-5986
  • Fax: 256-242-2927
Mailing address:
  • Phone: 256-507-5986
  • Fax: 256-242-2927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIANA WELCH
Title or Position: OWNER
Credential: LICSW
Phone: 256-507-5986