Harbor Counseling Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HARBOR COUNSELING SERVICES LLC

Practice address

5520 Highway 280 Ste 4
Birmingham, AL 35242-2308

Phone

(256) 577-0217

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 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

Neely Haynes, ALC

Title

Owner/Operator

Phone

(256) 577-0217

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1730727272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ALTA VISTA DR",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350436237",
            "telephone_number": "256-577-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 HIGHWAY 280 STE 4",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422308",
            "telephone_number": "256-577-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "NEELY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "256-577-0217",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tammy Hardeman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.