Provider Demographics
NPI:1215596648
Name:COLIBRI COUNSELING AND ASSESSMENT, LLC
Entity Type:Organization
Organization Name:COLIBRI COUNSELING AND ASSESSMENT, LLC
Other - Org Name:DOWNTOWN BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:LPC-S/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:256-203-6480
Mailing Address - Street 1:4650 WHITESBURG DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802
Mailing Address - Country:US
Mailing Address - Phone:256-203-6480
Mailing Address - Fax:256-350-3011
Practice Address - Street 1:4650 WHITESBURG DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-203-6480
Practice Address - Fax:256-350-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)