MEDICARE: KAITLIN FISHER COUNSELING

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	:	1922934231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAITLIN FISHER COUNSELING

Provider Business Mailing Address
First Line	:	5327 7TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-3907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5327 7TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-3907
Country	:	US
Telephone Number	:	334-791-4720
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAITLIN FISHER
Credential	:	LPC
Telephone Number	:	334-791-4720

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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