MEDICARE: NURI COUNSELING COLLECTIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134063738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURI COUNSELING COLLECTIVE LLC

Provider Business Mailing Address
First Line	:	1526 CARTER ST
Second Line	:
City	:	ANNISTON
State	:	AL
Zip	:	36201-3437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1526 CARTER ST
Second Line	:
City	:	ANNISTON
State	:	AL
Zip	:	36201-3437
Country	:	US
Telephone Number	:	256-453-3656
Fax Number	:

Authorized Official
Title or Position	:	LICSW
Name	:	PRINCESS SPIKES
Credential	:
Telephone Number	:	256-453-3656

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “NURI COUNSELING COLLECTIVE LLC ” Practice Location

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