Counseling Centre, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1499C Issued in AL

Legal business name

COUNSELING CENTRE, LLC

Practice address

1404 W 1St St
Suite F
Gulf Shores, AL 36542-4445

Phone

(251) 948-2999

Fax

(251) 948-0072

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

William M Hodge, PHD

Title

Owner

Phone

(251) 948-2999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1952796625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 W 1ST ST",
            "address_2": "SUITE F",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365424445",
            "telephone_number": "251-948-2999",
            "fax_number": "251-948-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W 1ST ST",
            "address_2": "SUITE F",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365424445",
            "telephone_number": "251-948-2999",
            "fax_number": "251-948-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-948-2999",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1499C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Wellness LLC
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• Lyle Cooper, DC
• Lyle Keith Cooper II, LPC
• Summer Costigan
• Elizabeth Chapman Craft, MC, LPC
• Sabrina Crutchfield, PHARMD
• Shelby Sullivan Daily, CRNP
• Darryl Allen MSS,DC
• Joshua Hunter Daughtry, PHARM.D

• Clinical Social Worker in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.