Intellectualsoul Clinical Consulting, LLC
Intellectualsoul Clinical Consulting, LLC is a Community/Behavioral Health Agency in Montgomery, Alabama. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2541 College StMontgomery, AL 36106-2124
Phone: (334) 207-7657
Fax: (334) 323-6747
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1912559675 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephan Mambazo — Owner/Primary Provider · (334) 625-9617 |
| NPI enumerated | July 12, 2019 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | March 12, 2021 |
| Mailing address | 2541 College St, Montgomery, AL 36106-2124 |
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