Psychotherapy/ Clinical Services LLC
Clinic/Center in Huntsville, AL. Organization (NPI-2).
NPI number1033736749
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1033736749
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychotherapy/ Clinical Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2622 Jordan Ln NwHuntsville, AL 35816-1014
Phone 256-509-3465
Mailing address
Po Box 106Ryland, AL 35767-0106
Phone 256-509-3465
Authorized official
Esophia Clayborn
Psychotherapist/Clinician/Sole Prop
2565093465
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