Provider Demographics
NPI:1104587740
Name:FLUIDITY COUNSELING LLC
Entity type:Organization
Organization Name:FLUIDITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, NCC
Authorized Official - Phone:205-225-9595
Mailing Address - Street 1:2125 DATA OFFICE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2529
Mailing Address - Country:US
Mailing Address - Phone:205-225-9656
Mailing Address - Fax:205-326-7543
Practice Address - Street 1:2125 DATA OFFICE DR STE 115
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2529
Practice Address - Country:US
Practice Address - Phone:205-225-9656
Practice Address - Fax:205-326-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty