The Island Counseling Connection LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE ISLAND COUNSELING CONNECTION LLC

Practice address

433 Palmetto CT
Gulf Shores, AL 36542-3419

Phone

(309) 351-5255

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By 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

Kelly Cobb

Title

Manager

Phone

(309) 351-5255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1588369409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PALMETTO CT",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423419",
            "telephone_number": "309-351-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PALMETTO CT",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423419",
            "telephone_number": "309-351-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ISLAND COUNSELING CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-351-5255"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.