Provider Demographics
NPI:1043729346
Name:JL AUSTIN COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:JL AUSTIN COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:L
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:205-266-2352
Mailing Address - Street 1:1094 ASBURY CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4346
Mailing Address - Country:US
Mailing Address - Phone:205-266-2352
Mailing Address - Fax:205-449-5635
Practice Address - Street 1:530 BEACON PKWY W STE 401
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3196
Practice Address - Country:US
Practice Address - Phone:205-266-2352
Practice Address - Fax:205-449-5635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00000000000Medicaid
ALNONEOtherNONE