Provider Demographics
NPI:1235397985
Name:COMPLETE FAMILY PASTORAL COUNSELING, INC
Entity Type:Organization
Organization Name:COMPLETE FAMILY PASTORAL COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKEEVERE
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-685-0373
Mailing Address - Street 1:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-0959
Mailing Address - Country:US
Mailing Address - Phone:205-685-0373
Mailing Address - Fax:205-685-0393
Practice Address - Street 1:2700 PELHAM PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1705
Practice Address - Country:US
Practice Address - Phone:205-685-0373
Practice Address - Fax:295-685-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL386 LPC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health