Provider Demographics
NPI:1912059650
Name:AHLERS, FREDERICK LAVOI (MSW LCSW PIP)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:LAVOI
Last Name:AHLERS
Suffix:
Gender:M
Credentials:MSW LCSW PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OFFICE PARK CIRCLE
Mailing Address - Street 2:STE 204 ALABAMA COUNSELING LLC
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223
Mailing Address - Country:US
Mailing Address - Phone:205-423-0083
Mailing Address - Fax:205-423-0058
Practice Address - Street 1:4 OFFICE PARK CIRCLE
Practice Address - Street 2:STE 204 ALABAMA COUNSELING LLC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223
Practice Address - Country:US
Practice Address - Phone:205-423-0083
Practice Address - Fax:205-423-0058
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1977C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51535441OtherBLUE CROSS BLUE SHIELD