CONVERGENCE FREE WILL INTERVENTION NPI 1407310766

NPI Information

NPI: 1407310766
Provider Name: CONVERGENCE FREE WILL INTERVENTION
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
303 S 11TH ST
GADSDEN, AL
ZIP 35901
Phone: (256) 478-1182
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CONVERGENCE FREE WILL INTERVENTION is a professional counselor in Gadsden, AL. CONVERGENCE FREE WILL INTERVENTION NPI is 1407310766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 S 11TH ST
GADSDEN, AL
ZIP 35901-507
Phone: (256) 478-1182

The provider's authorized official is Theresa R Scott .
The authorized official title is Mspc- Solo Proprietor and has the following contact phone number (256) 478-1182.

The enumeration date for this NPI number is 1/30/2019 and was last updated on 1/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	Yes
4	103TB0200X	Psychologist	Cognitive & Behavioral	No
5	103TP2701X	Psychologist	Group Psychotherapy	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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