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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

OrganizationSpecialtyStatusNew patients
West Alabama Couple and Family Therapy , LLC Current
since Mar 22, 2020
Accepting new patients

Locations

2825 7th St
Tuscaloosa, AL 35401
Phone (205) 523-5590

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Tuscaloosa, AL · Marriage & Family Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.