Provider Demographics
NPI:1457500985
Name:THORNETT COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:THORNETT COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DARREN
Authorized Official - Last Name:THORNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ALC
Authorized Official - Phone:334-464-1175
Mailing Address - Street 1:1247 RUCKER BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-3631
Mailing Address - Country:US
Mailing Address - Phone:334-464-1175
Mailing Address - Fax:334-348-1590
Practice Address - Street 1:1247 RUCKER BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3631
Practice Address - Country:US
Practice Address - Phone:334-464-1175
Practice Address - Fax:334-348-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty