Provider Demographics
NPI:1992840896
Name:ALABAMA PSYCHOTHERAPY AND WELLNESS CENTER
Entity Type:Organization
Organization Name:ALABAMA PSYCHOTHERAPY AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-912-2000
Mailing Address - Street 1:631 BEACON PKWY W STE 203
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3131
Mailing Address - Country:US
Mailing Address - Phone:205-912-2000
Mailing Address - Fax:
Practice Address - Street 1:631 BEACON PKWY W STE 203
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3131
Practice Address - Country:US
Practice Address - Phone:205-912-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty