Provider Demographics
NPI:1144417460
Name:ALATYMI COUNSELING CONSULTANTS & FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:ALATYMI COUNSELING CONSULTANTS & FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AVA
Authorized Official - Middle Name:VERNELL
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-688-3559
Mailing Address - Street 1:312 E ALTON ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3005
Mailing Address - Country:US
Mailing Address - Phone:919-688-3559
Mailing Address - Fax:919-688-3559
Practice Address - Street 1:315 E PILOT ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3032
Practice Address - Country:US
Practice Address - Phone:919-680-0334
Practice Address - Fax:919-688-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-401320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness