The Vine Counseling Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE VINE COUNSELING SERVICES, LLC

Practice address

7268 Cottage Hill Rd
Mobile, AL 36695-2825

Phone

(251) 301-6855

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By 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

Dr. Dana Watson, PHD, LICSWNPI 1295434330

Title

Owner

Phone

(251) 604-1995

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, and the practitioner matching its NPPES authorized official.

• Dana Watson, PHD, LICSW

  • Clinical Social Worker
  • Mobile, AL
  • NPI 1295434330
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1265133391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MCRAE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366955218",
            "telephone_number": "251-604-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7268 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952825",
            "telephone_number": "251-301-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VINE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-604-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Mobile, AL
• Providers in Mobile, AL by specialty
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.