MEDICARE: TRANSPARENT PSYCHOTHERAPY 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285326199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPARENT PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	2015 WILD FLOWER DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1724
Country	:	US
Telephone Number	:	205-790-0381
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 COMMONS DR # 7
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6962
Country	:	US
Telephone Number	:	205-790-0381
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANDREW CHILDERS
Credential	:	LPC
Telephone Number	:	205-790-0381

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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