Professional Counseling and Consulting Service LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PROFESSIONAL COUNSELING AND CONSULTING SERVICE LLC

Practice address

256 Honeysuckle Rd
Suite 20 Brightleaf Court
Dothan, AL 36305-1157

Phone

(334) 446-0600

Fax

(334) 479-8484

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Leigh A Bynum

Title

Office Administrator

Phone

(334) 446-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1790127975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 20 BRIGHTLEAF COURT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-446-0600",
            "fax_number": "334-479-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 20 BRIGHTLEAF COURT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-446-0600",
            "fax_number": "334-479-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING AND CONSULTING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "334-446-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.