Provider Demographics
NPI:1689923237
Name:SABB, BERYL (MS, ALC)
Entity Type:Individual
Prefix:
First Name:BERYL
Middle Name:
Last Name:SABB
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:DENA
Other - Middle Name:
Other - Last Name:SABB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, ALC
Mailing Address - Street 1:321 NORTH HULL STREET
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104
Mailing Address - Country:US
Mailing Address - Phone:334-262-1434
Mailing Address - Fax:
Practice Address - Street 1:321 NORTH HULL STREET
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104
Practice Address - Country:US
Practice Address - Phone:334-262-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1978A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor