NPI 1104073592

The Centre

Organisation Mental Health Counselor Daphne, AL

Practice location

Address: 1290 Main St STE E, Daphne, AL 36526-8624
Phone: (251) 625-0118
Fax: (251) 625-0116

Authorised official

Name: Robert Edwin Colclough
Title: Director
Phone: (251) 625-0118

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC 111 AL (AL)

Other Counselor providers in Alabama →

Registry record

NPI: 1104073592
Entity type: Organization
NPI issued: 27 Aug 2008
Record last updated: 16 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.