Provider Demographics
NPI:1003581265
Name:COMPLETE COUNSELING LLC
Entity Type:Organization
Organization Name:COMPLETE COUNSELING LLC
Other - Org Name:COMPLETE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:U
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-213-1934
Mailing Address - Street 1:PO BOX 1892
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5412
Mailing Address - Country:US
Mailing Address - Phone:256-213-1934
Mailing Address - Fax:
Practice Address - Street 1:810 PALMER RD STE 101B
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3115
Practice Address - Country:US
Practice Address - Phone:256-213-1934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)