Provider Demographics
NPI:1174748156
Name:ISRAEL, EMILY SAVHANN (MA, LPC, RPT, NCC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:SAVHANN
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:MA, LPC, RPT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-0397
Mailing Address - Country:US
Mailing Address - Phone:205-879-2508
Mailing Address - Fax:
Practice Address - Street 1:2305 ARLINGTON AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4111
Practice Address - Country:US
Practice Address - Phone:205-933-9276
Practice Address - Fax:205-933-9280
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2261101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional