Provider Demographics
NPI:1679045751
Name:TREASURED MOMENTS LLC
Entity Type:Organization
Organization Name:TREASURED MOMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT CLINICAL SOCIA
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:ALLON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:205-837-1683
Mailing Address - Street 1:3738 MAGGIES DRIVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210
Mailing Address - Country:US
Mailing Address - Phone:205-837-1683
Mailing Address - Fax:205-837-1683
Practice Address - Street 1:2208 UNIVERSITY BOULEVARD SUITE #102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-837-1683
Practice Address - Fax:205-837-1683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-29
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty