Carlton Cooper, AMFT
Individual provider Active NPI Marriage & Family Therapist · Mountain BRK, AL
NPI 1104556687 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1104556687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- A287 (AL)
- Practice address
- 200 Office Park Dr Ste 220
Mountain BRK, AL 35223-2455 - Phone
- (205) 462-8167
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A287 | AL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A287 | AL | Yes |
Addresses
Primary practice location
200 Office Park Dr Ste 220
Mountain BRK, AL 35223-2455
Mailing address
4321 Warren Rd
Birmingham, AL 35213-2728
Phone (205) 807-0115
Other providers in Mountain BRK, AL
- Combs Village Healthcare
- Bryan Patrick Combs
- Comprehensive Pain Center, PC
- Connect Counseling & Consulting LLC
- Mary Jordan Conzelman
- Copeland Counseling & Consulting
- Rachel Copeland
- Tracy Copeland
- Bethany Corey
- Caroline Crabtree
All providers in Mountain BRK, AL · Marriage & Family Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.