Individual provider · Type 1 NPI

Porche Elaine-Tyrise Giles

Mental Health Counselor · Brewton, AL

NPI number 1457171902 Active

Practice location

1321 Mcmillan Ave
Brewton, AL 36426-1324

Fax (251) 575-9459

Mailing address

PO Box 964
Monroeville, AL 36461-0964

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XALC04958 (AL)

Mental Health Counselor: Definition to come...

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About NPI 1457171902

Porche Elaine-Tyrise Giles's National Provider Identifier is 1457171902, issued on Oct 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brewton, AL. The record was last updated on Oct 10, 2024.