Provider Demographics
NPI:1598368177
Name:INCLUSIVE THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:INCLUSIVE THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:ANDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:205-523-5789
Mailing Address - Street 1:2110 MCFARLAND BLVD E STE E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5820
Mailing Address - Country:US
Mailing Address - Phone:205-523-5789
Mailing Address - Fax:205-764-1553
Practice Address - Street 1:2110 MCFARLAND BLVD E STE E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5820
Practice Address - Country:US
Practice Address - Phone:205-523-5789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty