Provider Demographics
NPI:1740084557
Name:CROOK, TATYANA MONE'T (MED, ALC)
Entity type:Individual
Prefix:
First Name:TATYANA
Middle Name:MONE'T
Last Name:CROOK
Suffix:
Gender:
Credentials:MED, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5327
Mailing Address - Country:US
Mailing Address - Phone:205-728-9694
Mailing Address - Fax:
Practice Address - Street 1:600 BEACON PKWY W STE 105
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3115
Practice Address - Country:US
Practice Address - Phone:205-775-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05207101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health