License Professional Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LICENSE PROFESSIONAL COUNSELING SERVICES, LLC

Practice address

605 Bel Air Blvd Ste 33
Mobile, AL 36606-3529

Phone

(251) 444-9740

Fax

(251) 478-5050

NPI assigned

Jan 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veronica Davis, LPCNPI 1487956884

Title

Ceo/Licensed Professional Counselor

Phone

(251) 444-9740

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Davis, LPC-S, ADC, ICADC

  • Counselor
  • Mobile, AL
  • NPI 1487956884
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1154073328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-444-9740",
            "fax_number": "251-478-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-444-9740",
            "fax_number": "251-478-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSE PROFESSIONAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CEO/LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "251-444-9740",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.