| Sanavitatherapy | |
|
2344 Valleydale Rd Ste B Birmingham AL 35244-2074 | |
| (205) 775-7757 | |
| Not Available |
| Full Name | Sanavitatherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2344 Valleydale Rd Ste B, Birmingham, Alabama |
| Authorized Official Name and Position | Richard Dale Fallin (OWNER) |
| Authorized Official Contact | 2565902988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanavitatherapy 2312 Mountain Run Birmingham AL 35244-1930 Ph: (205) 775-7757 | Sanavitatherapy 2344 Valleydale Rd Ste B Birmingham AL 35244-2074 Ph: (205) 775-7757 |
| NPI Number | 1093413718 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093413718 | NPI | - | NPPES |
| 512-87016 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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