Provider Demographics
NPI:1679077366
Name:MCCLAIN, MARCY (LPC, NCC, MA)
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:LPC, NCC, MA
Other - Prefix:MS
Other - First Name:MARCY
Other - Middle Name:
Other - Last Name:MCCLAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC, MA
Mailing Address - Street 1:1211 28TH ST S STE 101
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1822
Mailing Address - Country:US
Mailing Address - Phone:205-639-8081
Mailing Address - Fax:
Practice Address - Street 1:1211 28TH ST S STE 101
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1822
Practice Address - Country:US
Practice Address - Phone:205-639-8081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3737101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional