Provider Demographics
NPI:1437405305
Name:COUNSELING MINISTRY PROFESSIONALS, INC
Entity Type:Organization
Organization Name:COUNSELING MINISTRY PROFESSIONALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TRAMMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-345-5885
Mailing Address - Street 1:519 ENERGY CENTER BLVD
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5820
Mailing Address - Country:US
Mailing Address - Phone:205-345-5885
Mailing Address - Fax:205-345-5884
Practice Address - Street 1:519 ENERGY CENTER BLVD
Practice Address - Street 2:SUITE 1103
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5820
Practice Address - Country:US
Practice Address - Phone:205-345-5885
Practice Address - Fax:205-345-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL48101YP2500X
ALL430101YP2500X
AL45112084P0800X, 2084P0804X
AK45112084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL082997OtherBCBS OF ALABAMA UPIN