The Shaping: Therapeutic & Wellness Services
NPI #1285463620 in Montgomery, Alabama
Provider Information
- NPI Number
- 1285463620
- Entity Type
- Organization
- Organization Name
- The Shaping: Therapeutic & Wellness Services
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 1, 2024
- Last Updated
- Dec 9, 2024
Practice Location
- Address
- 2324 MILL RIDGE DR
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36117-4780
- Phone
- (334) 419-4605
Authorized Official
- Name
- ANGELENE CLARISSA KENDALL-HENDERSON
- Title
- OWNER
- Phone
- (334) 419-4605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist - Clinical — Clinical |
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