Southeastern Counseling and Consultation LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5756 Issued in FL

Legal business name

SOUTHEASTERN COUNSELING AND CONSULTATION LLC

Practice address

5024 NW 27TH CT Ste B
Gainesville, FL 32606-6545

Phone

(352) 375-4440

Fax

(352) 378-1828

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alfred Grant McDougall, LMHCNPI 1558493361

Title

Owner

Phone

(352) 318-8750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alfred Grant McDougall, PHD

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1558493361
  NPD (past) Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1306344502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357504",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357504",
            "telephone_number": "352-375-4440",
            "fax_number": "352-378-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 NW 27TH CT STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066545",
            "telephone_number": "352-375-4440",
            "fax_number": "352-378-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-318-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Soucey, APRN
• Cadfael Soulard, MD
• South Florida BBF Inc
• Keri Lynn Southall, ARNP
• Southeast Psychological Consulting, LLC
• Southeastern Integrated Medical PL
• Southeastern Integrated Medical PL
• Southern Cardiac Interpretation PA
• Southland Medical Solutions of Al PL
• Kendra Southward, B.S.W

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Jan 23, 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.