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NPI Code Detail

MEDICARE: BILLY THORNTON LPC

MEDICARE: BILLY THORNTON LPC
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
1101Y00000XCounselorLPC04924AL

General Provider Information

NPI Number : 1538800487
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLY THORNTON LPC
Provider Business Mailing Address
First Line : 2700 HIGHWAY 280 S STE 207
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 HIGHWAY 280 S STE 207
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-721-8322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 08/18/2025

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Directions to “ BILLY THORNTON LPC” Practice Location

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