Provider Demographics
NPI:1528579182
Name:FITZPATRICK COUNSELING ASSOCIATES, LLC
Entity Type:Organization
Organization Name:FITZPATRICK COUNSELING ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-320-8537
Mailing Address - Street 1:2283 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2209
Mailing Address - Country:US
Mailing Address - Phone:334-320-8537
Mailing Address - Fax:
Practice Address - Street 1:600 INTERSTATE PARK DR STE 609
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5474
Practice Address - Country:US
Practice Address - Phone:334-320-8537
Practice Address - Fax:334-676-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)