Active NPI
Camellia Counseling LLC
- Professional Counselor
- Daphne, AL
National Provider Identifier
1396417762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CAMELLIA COUNSELING LLC
- Practice address
- 809C Daphne Ave Ste 101
Daphne, AL 36526-4297 - Phone
- (205) 201-1763
- NPI assigned
- Oct 4, 2021
- Last updated
- Oct 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa A. Smilie, LPC-S
- Title
- Owner
- Phone
- (251) 454-1150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
809C Daphne Ave Ste 101
Daphne, AL 36526-4297
Mailing address
11667 Burbank CT
Spanish Fort, AL 36527-5296
Phone (251) 454-1150
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1396417762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11667 BURBANK CT",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275296",
"telephone_number": "251-454-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809C DAPHNE AVE STE 101",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264297",
"telephone_number": "205-201-1763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELLIA COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "SMILIE",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-454-1150",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.