Counseling Inc., Dba Alliance Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11935 Issued in FL

Legal business name

COUNSELING INC., DBA ALLIANCE COUNSELING

Practice address

17 Racetrack Rd NW
Fort Walton Beach, FL 32547-4616

Phone

(850) 226-6828

NPI assigned

Mar 19, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deanna Hickenbotham, LMHC

Title

Mental Health Counselor

Phone

(850) 226-7226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1215321963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474616",
            "telephone_number": "850-226-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474616",
            "telephone_number": "850-226-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING INC., DBA ALLIANCE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "HICKENBOTHAM",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "850-226-7226",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Copeland, MA
• Kendall Gail Corman II
• Caitlyn Marie-Rose Corn, RBT
• Glenn Cottrill
• Rachel L Couch, ARNP
• Bridget Counterman, RN
• Katharine Ann Couvillon
• Covenant Hospice Inc
• Caroline Elizabeth Cox, OTR/L
• John David Cox Jr., RN

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.