Counselormichlimited Liability Company

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2306 Issued in AL

Legal business name

COUNSELORMICHLIMITED LIABILITY COMPANY

Practice address

3762 Moffett Rd Ste a
Mobile, AL 36618-1222

Phone

(251) 447-3703

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By 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

Michelle Edwards

Title

LPC/Ceo

Phone

(251) 447-3703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1275019929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHIDESTER AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072119",
            "telephone_number": "251-447-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 MOFFETT RD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366181222",
            "telephone_number": "251-447-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELORMICHLIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LPC/CEO",
        "authorized_official_telephone_number": "251-447-3703"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mobile, AL
• Providers in Mobile, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.