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General NPI Number Information
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NPI Number | 1528159415
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Entity Type | Organization
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Legal Business Name | SAMARITAN COUNSELING CENTER
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2872 ACTON RD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2502
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Country | US
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Telephone | 205-967-3660
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Fax | 205-967-3664
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Provider Business Mailing Address
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Address Line | 2872 ACTON RD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2502
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Country | US
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Telephone | 205-967-3660
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Fax | 205-967-3664
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Authorized Official
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Title or Position | DIRECTOR
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Name | RENE BRELAND
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Credential |
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Telephone | 205-967-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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