Provider Demographics
NPI:1407535768
Name:COMPREHENSIVE COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:COMPREHENSIVE COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNA
Authorized Official - Middle Name:MEADOWS
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:334-202-0600
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:MENTONE
Mailing Address - State:AL
Mailing Address - Zip Code:35984-0276
Mailing Address - Country:US
Mailing Address - Phone:256-254-9628
Mailing Address - Fax:
Practice Address - Street 1:215 GRAND AVE SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-1917
Practice Address - Country:US
Practice Address - Phone:256-254-9628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health