Tea of Life Holistic Behavioral Health Therapy, LLC

NPI #1275284481 in Spanish Fort, Alabama

Provider Information

NPI Number: 1275284481
Entity Type: Organization
Organization Name: Tea of Life Holistic Behavioral Health Therapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 10, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 34124 BURWOOD DR
City: Spanish Fort
State: Alabama
ZIP Code: 36527-7301
Phone: (251) 401-5602

Authorized Official

Name: TUNISIA LONDON, LICSW, PIP
Title: OWNER
Phone: (251) 401-5602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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