NPI Code Details Logo

NPI 1295658490

NPI 1295658490 : UNBOUND COUNSELING LLC : MOBILE, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295658490
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    UNBOUND COUNSELING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/03/2026
-----------------------------------------------------
    Last Update Date     |    08/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5803 REGENTS DR S 
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36609-3255
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-709-8100
-----------------------------------------------------
    Fax                  |    248-282-2949
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5803 REGENTS DR S 
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36609-3255
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-709-8100
-----------------------------------------------------
    Fax                  |    248-282-2949
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/THERAPIST
-----------------------------------------------------
    Name                 |     WENDY L LIPHAM 
-----------------------------------------------------
    Credential           |    MS, LPC, NCC
-----------------------------------------------------
    Telephone            |    251-709-8100
-----------------------------------------------------

=====================================================
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.