Provider Demographics
NPI:1619481124
Name:ALABAMA COUNSELING AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:ALABAMA COUNSELING AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:HABEEB
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-423-0083
Mailing Address - Street 1:4 OFFICE PARK CIR STE 204
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2668
Mailing Address - Country:US
Mailing Address - Phone:205-423-0083
Mailing Address - Fax:205-423-0058
Practice Address - Street 1:4 OFFICE PARK CIR STE 204
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2668
Practice Address - Country:US
Practice Address - Phone:205-423-0083
Practice Address - Fax:205-423-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL693101YM0800X
AL1977C1041C0700X
ALMD112452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty