Provider Demographics
NPI:1730953639
Name:UNDERWOOD, SYDNEY BIRELEY (ALC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:BIRELEY
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:CLAIRE
Other - Last Name:BIRELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:508 CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1608
Mailing Address - Country:US
Mailing Address - Phone:205-908-3853
Mailing Address - Fax:
Practice Address - Street 1:100 CHASE PARK S STE 118
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1800
Practice Address - Country:US
Practice Address - Phone:205-530-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04646101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor