MRS. TIERRA EZELL ALC
NPI 1467149104
Counselor - Mental Health in Theodore, AL

Active since April 21, 2023
7643 BROOME CT, THEODORE, AL 36582(251) 402-9072 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tierra Ezell Alc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TIERRA EZELL ALC (NPI 1467149104) is an individual mental health provider in Theodore, Alabama, licensed in Alabama (ALC04247) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1467149104
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TIERRA EZELLCredential: ALC
Location Address7643 BROOME CTTheodore, AL 36582-6312
Mailing Address7643 Broome CtTheodore, AL 36582-6312 · (251) 402-9072
Sole ProprietorNo
Enumeration DateApril 21, 2023
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1467149104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AL · ALC04247
Also ListedCounselorTaxonomy 101Y00000X
7643 BROOME CT, Theodore, AL 36582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tierra Ezell's NPI number?

The NPI number for Tierra Ezell is 1467149104. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Tierra Ezell located?

Tierra Ezell practices at 7643 Broome Ct, Theodore, AL 36582. The listed phone number is (251) 402-9072.

What is Tierra Ezell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tierra Ezell was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.