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General NPI Number Information
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NPI Number | 1184595837
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Entity Type | Organization
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Legal Business Name | WEATHERED PATH COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1 PERIMETER PARK S STE 100N
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3248
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Country | US
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Telephone | 205-690-3851
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Fax | 205-774-9368
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Provider Business Mailing Address
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Address Line | 1 PERIMETER PARK S STE 100N
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3248
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Country | US
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Telephone | 205-690-3851
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Fax | 205-774-9368
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CRYSTAL CRIM
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Credential | LPC, NCC
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Telephone | 205-690-3851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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