MORIAH SKY BURBANK ALC
NPI 1700649787
Counselor - Professional in Birmingham, AL
Active since February 02, 2024
About Moriah Sky Burbank Alc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORIAH SKY BURBANK ALC (NPI 1700649787) is an individual professional provider in Birmingham, Alabama, licensed in Alabama (ALC04786) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1700649787
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMORIAH SKY BURBANKCredential: ALC
Location Address2101 6TH AVE N STE 1125Birmingham, AL 35203-2771
Mailing Address1276 49th Pl S Apt ABirmingham, AL 35222-3826 · (205) 864-7096
Phone(205) 319-6459
Sole ProprietorNo
Enumeration DateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1700649787 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AL · ALC04786
2101 6TH AVE N STE 1125, Birmingham, AL 35203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700649787, enumerated as an "individual" on February 02, 2024.
The provider is located at 2101 6TH AVE N STE 1125 BIRMINGHAM, AL 35203 and the phone number is (205) 319-6459.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
