Provider Demographics
NPI:1144785940
Name:VALLIS LLC
Entity type:Organization
Organization Name:VALLIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC, CCTP
Authorized Official - Phone:256-325-0467
Mailing Address - Street 1:3776 SULLIVAN ST STE D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2344
Mailing Address - Country:US
Mailing Address - Phone:256-325-0467
Mailing Address - Fax:256-325-0469
Practice Address - Street 1:3776 SULLIVAN ST STE D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2344
Practice Address - Country:US
Practice Address - Phone:256-325-0467
Practice Address - Fax:256-325-0469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty