Southeast Alabama Counseling and Behavioral Specialist Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C1155A Issued in AL

Legal business name

SOUTHEAST ALABAMA COUNSELING AND BEHAVIORAL SPECIALIST SERVICES, LLC

Practice address

407 Honeysuckle Rd
Ste 207
Dothan, AL 36305-1227

Phone

(334) 699-8743

Fax

(334) 699-8748

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Dewitt Dawkins, MS, ALC, EAP

Title

Owner

Phone

(334) 699-8743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1487819561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HONEYSUCKLE RD",
            "address_2": "STE 207",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051227",
            "telephone_number": "334-699-8743",
            "fax_number": "334-699-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HONEYSUCKLE RD",
            "address_2": "STE 207",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051227",
            "telephone_number": "334-699-8743",
            "fax_number": "334-699-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA COUNSELING AND BEHAVIORAL SPECIALIST SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-699-8743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ALC, EAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AL",
            "license": "C1155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.