Healthcare Provider Details

I. General information

NPI: 1164326187
Provider Name (Legal Business Name): MULTI-CULTURAL CHILD AND FAMILY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

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

48 PROCTOR AVE APT SUITE
BUFFALO NY
14215-3314
US

IV. Provider business mailing address

1917 STRAWBERRY LN
HOOVER AL
35244-8241
US

V. Phone/Fax

Practice location:
  • Phone: 205-768-3884
  • Fax:
Mailing address:
  • Phone: 205-768-3884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. MICHELLE WATERS-TOUT
Title or Position: THERAPIST/ CONSULTANT
Credential: LMHC/ LMFT
Phone: 205-768-3884