Provider Demographics
NPI:1568588606
Name:MEANS, MARK STEPHEN (LMFT)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:STEPHEN
Last Name:MEANS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 HIGHWAY 280 STE 4
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2308
Mailing Address - Country:US
Mailing Address - Phone:205-202-1711
Mailing Address - Fax:205-437-8316
Practice Address - Street 1:5530 HIGHWAY 280
Practice Address - Street 2:SUITE 104-B
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2305
Practice Address - Country:US
Practice Address - Phone:205-202-1711
Practice Address - Fax:205-991-2061
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL96106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist