Bay Area Professional Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BAY AREA PROFESSIONAL COUNSELING LLC

Practice address

3263 Demetropolis Rd Ste 8
Mobile, AL 36693-4638

Phone

(251) 375-4345

NPI assigned

Sep 23, 2019

Last updated

Sep 23, 2019By 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

Ms. Lacey Moore Broadus, LPC-S

Title

Office Manager

Phone

(251) 375-4345

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, and the practitioner matching its NPPES authorized official.

• Lacey Deann Moore, LPC

  • Professional Counselor
  • Mobile, AL
  • NPI 1225363161
  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1346891223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 AUTUMN RIDGE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953230",
            "telephone_number": "251-375-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 DEMETROPOLIS RD STE 8",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934638",
            "telephone_number": "251-375-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BROADUS",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-375-4345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_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 Sep 23, 2019; 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.