Intervention Services of Southeast Alabama, LLC
NPI #1285340406 in Enterprise, Alabama
Provider Information
- NPI Number
- 1285340406
- Entity Type
- Organization
- Organization Name
- Intervention Services of Southeast Alabama, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 31, 2023
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 557 GLOVER AVE
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2024
- Phone
- (334) 308-2292
Authorized Official
- Name
- MRS. JESSYCA RENAE COLEMAN, LICSW-S
- Title
- THERAPIST
- Phone
- (334) 406-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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