Micha Blake Berryhill, PHD
Individual provider Active NPI Marriage & Family Therapist · Tuscaloosa, AL
NPI 1740811546 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1740811546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 415 (AL)
- Practice address
- 2910 7TH St
Tuscaloosa, AL 35401-1810 - Phone
- (432) 413-4966
- NPI assigned
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Alabama Couple and Family Therapy , LLC | Current |
Accepting new patients |
Locations
2825 7th St
Tuscaloosa, AL 35401
Phone (205) 523-5590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 415 | AL | Yes |
Addresses
Primary practice location
2910 7TH St
Tuscaloosa, AL 35401-1810
Mailing address
2110 Evergreen LN
Tuscaloosa, AL 35405-8223
Phone (432) 413-4966
Other practice location 1
2825 7th St
Tuscaloosa, AL 35401-1807
Phone (432) 413-4966
Other providers in Tuscaloosa, AL
- Stephen Clinton Bentley
- Maria Annika Bergman
- Carlos Eugenio Berry
- Dirk L Berry
- Shree Antionette Berry
- Lisa Besnoy
- Beta Neuron, LLC
- Richard Edison Beth
- Katie Lee Bethune
- Better Solutions in Home Healthcare Alabama, LLC
All providers in Tuscaloosa, 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 Jan 30, 2020. 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.