Basic Information
| Provider Information | |||||||||
| NPI: | 1528293743 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUTTO | ||||||||
| FirstName: | EMILY | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 CHASE PARK S | ||||||||
| Address2: | STE 102 | ||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352441884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059947019 | ||||||||
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| Practice Location | |||||||||
| Address1: | 956 MONTCLAIR RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352131218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059494540 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2009 | ||||||||
| LastUpdateDate: | 08/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 2207C | AL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.