Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AUDREY RAE MAYNOR, M..ED., LPC
Active Sole ProprietorPsychiatric Residential Treatment Facility · BIRMINGHAM, AL
Registration Details
- NPI Number
- 1629388038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2010 (15.506146164022 yrs)
- Last Updated
- Oct 19, 2010
- License
-
2238 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 GLENWOOD LNBIRMINGHAM, AL, 352425700Browse AL providers · Browse ZIP 35242
- Phone
- 2057953214
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.