| Self Discovery | |
|
1143 County Road 413 Killen AL 35645-7842 | |
| (256) 757-6621 | |
| Not Available |
| Full Name | Self Discovery |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1143 County Road 413, Killen, Alabama |
| Authorized Official Name and Position | Shea Self (BEHAVIOR ANALYST) |
| Authorized Official Contact | 2567576621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Discovery Po Box 161 Florence AL 35631-0161 Ph: () - | Self Discovery 1143 County Road 413 Killen AL 35645-7842 Ph: (256) 757-6621 |
| NPI Number | 1679842629 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679842629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4512 (California) | Primary |
Abundant Life Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Phillips Dr, Killen, AL 35645 Phone: 256-335-8963 | |
For The One Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Wallace Circle, Killen, AL 35645 Phone: 256-200-0060 |