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MARY TATE WADE COUNSELING LLC NPI 1790476638


NPI Information

NPI: 1790476638
Provider Name: MARY TATE WADE COUNSELING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
400 OFFICE PARK DR STE 130
MOUNTAIN BRK, AL
ZIP 35223
Phone: (205) 730-6217
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MARY TATE WADE COUNSELING LLC is a mental health (including community mental health center) clinic center in Mountain Brk, AL. MARY TATE WADE COUNSELING LLC NPI is 1790476638. The provider is registered as an organization entity type.

The provider's business location address is:

400 OFFICE PARK DR STE 130
MOUNTAIN BRK, AL
ZIP 35223-409
Phone: (205) 730-6217

The provider's authorized official is Mary Tate Thomas Wade .
The authorized official title is Associate Licensed Counselor and has the following contact phone number (205) 862-2603.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/19/2023.


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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 5/5/2024

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.