Immanuel Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

IMMANUEL COUNSELING SERVICES, LLC

Doing business as

Immanuel Counseling and Consultation Services

Practice address

3104 S Railroad St Ste B
Phenix City, AL 36867-2992

Phone

(334) 655-1414

Fax

(334) 665-5666

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 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

Dr. Catrece Dantzler, EDDNPI 1306266895

Title

Licensed Professional Counselor

Phone

(334) 467-4992

Specialties & licenses 4

Addresses

Other names 1

• Immanuel Counseling and Consultation Services Doing business as

Locations

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.

• Catrece Dantzler

  • Counselor
  • Montgomery, AL
  • NPI 1306266895

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1891477113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WYNDHAM VILLAGE CT",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368047494",
            "telephone_number": "334-467-4992",
            "fax_number": "334-665-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S RAILROAD ST STE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672992",
            "telephone_number": "334-655-1414",
            "fax_number": "334-665-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4171 Lomac St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062828",
            "country_code": "US",
            "telephone_number": "334-655-1414",
            "fax_number": "334-665-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMMANUEL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "DANTZLER",
        "authorized_official_first_name": "CATRECE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "334-467-4992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immanuel Counseling and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Howard, RPH
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• Amanda Marie Hutchinson, CRNP
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• James F Zumstein MD LLC
• Wendall Keith Jefferson

• Professional Counselor in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.