Search › Alabama › 1041C0700X
Misty Deramus, LCSW
NPI 1477626471 · on the registry since 2006
Practice
- Address
- 116 Wilkerson Ave
Madison, AL 35756 - Phone
- (256) 490-4443
- Organisation at this address
- Breaking Dawn Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama