Provider Demographics
NPI:1568505444
Name:NACE, WENDY W (LPC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:W
Last Name:NACE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-0191
Mailing Address - Country:US
Mailing Address - Phone:205-682-9919
Mailing Address - Fax:205-682-9921
Practice Address - Street 1:2 RIVERCHASE OFFICE PLZ STE 122
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2810
Practice Address - Country:US
Practice Address - Phone:205-682-9919
Practice Address - Fax:205-682-9921
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2165101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor