Katie Lauren Bearden, ALC
Individual provider Active NPI Mental Health Counselor · Birmingham, AL
NPI 1417618455 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1417618455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C3401A (AL)
- Practice address
- 1920 Valleydale Rd Ste 274
Birmingham, AL 35244-1749 - Phone
- (205) 578-8536
- Fax
- (205) 318-2714
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| C3401A | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivating Wellness, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3401A | AL | Yes |
Addresses
Primary practice location
1920 Valleydale Rd Ste 274
Birmingham, AL 35244-1749
Mailing address
4731 Hollow LN
Helena, AL 35080-3434
Phone (205) 585-9573
Other providers in Birmingham, AL
- Sloan Beard
- Steven Beard
- Vadus L Beard
- Donna Bearden
- Gregory Lee Bearden
- Lindsay Bearden
- Makenzie Bearden
- Howard H Bearman
- Mark Gregory Bearman
- Ashley Beasley
All providers in Birmingham, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 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.