Provider Demographics
NPI:1508372822
Name:VINES COUNSELING LLC
Entity Type:Organization
Organization Name:VINES COUNSELING LLC
Other - Org Name:KATIE VINES LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:VINES
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-966-5485
Mailing Address - Street 1:641 HAMBAUGH TER
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5113
Mailing Address - Country:US
Mailing Address - Phone:205-966-5485
Mailing Address - Fax:
Practice Address - Street 1:2204 LAKESHORE DR STE 302
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-8854
Practice Address - Country:US
Practice Address - Phone:205-946-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-22
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922333756OtherINDIVIDUAL NPI