Provider Demographics
NPI:1447965033
Name:FITE, CALAH MIKAL (MED, NCC, ALC)
Entity type:Individual
Prefix:
First Name:CALAH
Middle Name:MIKAL
Last Name:FITE
Suffix:
Gender:F
Credentials:MED, NCC, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 GABOURY LN NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-2104
Mailing Address - Country:US
Mailing Address - Phone:504-208-0079
Mailing Address - Fax:
Practice Address - Street 1:401 HOLMES AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4123
Practice Address - Country:US
Practice Address - Phone:504-208-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty