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NPI Code Detail

MEDICARE: WRITE OF HEALING COUNSELING, LLC

MEDICARE: WRITE OF HEALING COUNSELING, 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285363341
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRITE OF HEALING COUNSELING, LLC
Provider Business Mailing Address
First Line : 15 W LAKESHORE DR APT B
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-7208
Country : US
Telephone Number : 334-375-0927
Fax Number :
Provider Business Practice Location Address
First Line : 400 OFFICE PARK DR STE 230
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-3410
Country : US
Telephone Number : 334-375-0927
Fax Number :
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : JARVIS T. CLEVELAND
Credential : LICSW
Telephone Number : 334-375-0927
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/08/2022

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Directions to “WRITE OF HEALING COUNSELING, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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