NPI Code Details Logo

NPI 1265393433

NPI 1265393433 : THE COLLECTIVE THERAPY CENTER LLC : MOUNTAIN BRK, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265393433
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE COLLECTIVE THERAPY CENTER LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2025
-----------------------------------------------------
    Last Update Date     |    11/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3 OFFICE PARK CIR STE 200 
-----------------------------------------------------
    City                 |    MOUNTAIN BRK
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35223-2535
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-210-8620
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3 OFFICE PARK CIR STE 200 
-----------------------------------------------------
    City                 |    MOUNTAIN BRK
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35223-2535
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-210-8620
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER, CLINICAL THERAPIST
-----------------------------------------------------
    Name                 |     ELIZABETH  TAPLEY 
-----------------------------------------------------
    Credential           |    ED.S., LPC, NCC
-----------------------------------------------------
    Telephone            |    205-210-8620
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.