Provider Demographics
NPI:1831653708
Name:COTINA STROUD
Entity Type:Organization
Organization Name:COTINA STROUD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COTINA
Authorized Official - Middle Name:HOUSTON
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:256-282-8548
Mailing Address - Street 1:260 HIDDEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-3398
Mailing Address - Country:US
Mailing Address - Phone:256-282-8548
Mailing Address - Fax:
Practice Address - Street 1:20 W 14TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4559
Practice Address - Country:US
Practice Address - Phone:256-282-8548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health