Provider Demographics
NPI:1366457152
Name:DAYSPRING CENTER FOR CHRISTIAN COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:DAYSPRING CENTER FOR CHRISTIAN COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-878-3809
Mailing Address - Street 1:104 W ALABAMA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1642
Mailing Address - Country:US
Mailing Address - Phone:256-878-3809
Mailing Address - Fax:256-878-8022
Practice Address - Street 1:104 W ALABAMA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1642
Practice Address - Country:US
Practice Address - Phone:256-878-3809
Practice Address - Fax:256-878-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)