Provider Demographics
NPI:1437659265
Name:A CALLING CONSULTING AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:A CALLING CONSULTING AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PC
Authorized Official - Phone:205-471-7509
Mailing Address - Street 1:1200 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-4606
Mailing Address - Country:US
Mailing Address - Phone:205-515-3591
Mailing Address - Fax:205-384-6397
Practice Address - Street 1:300 18TH ST WEST
Practice Address - Street 2:SUITE 101
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501
Practice Address - Country:US
Practice Address - Phone:205-471-7509
Practice Address - Fax:205-384-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3161101YP2500X
AL2122B104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty