Provider Demographics
NPI:1619750452
Name:SUTTON COUNSELING SERVICE LLC
Entity Type:Organization
Organization Name:SUTTON COUNSELING SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:256-436-8681
Mailing Address - Street 1:6900 HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:PHIL CAMPBELL
Mailing Address - State:AL
Mailing Address - Zip Code:35581-6030
Mailing Address - Country:US
Mailing Address - Phone:256-436-8681
Mailing Address - Fax:
Practice Address - Street 1:6900 HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:PHIL CAMPBELL
Practice Address - State:AL
Practice Address - Zip Code:35581-6030
Practice Address - Country:US
Practice Address - Phone:256-436-8681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)