MEDICARE: PIECES OF CLAY 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1497520225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIECES OF CLAY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	300 VESTAVIA PKWY STE 1500
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3753
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 VESTAVIA PKWY STE 1500
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3753
Country	:	US
Telephone Number	:	205-538-3652
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ COUNSELOR
Name	:	APRIL MORRIS
Credential	:
Telephone Number	:	901-692-2739

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/21/2023

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