Provider Demographics
NPI:1619757242
Name:LET'S TALK SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:LET'S TALK SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:334-587-1923
Mailing Address - Street 1:387 BUSTER RD
Mailing Address - Street 2:
Mailing Address - City:ASHFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36312-5663
Mailing Address - Country:US
Mailing Address - Phone:334-200-3675
Mailing Address - Fax:
Practice Address - Street 1:109 W TROY ST STE 1214
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-4516
Practice Address - Country:US
Practice Address - Phone:334-587-1923
Practice Address - Fax:334-746-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty