Provider Demographics
NPI:1629854245
Name:ESSENTIALLY YOU COUNSELING & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:ESSENTIALLY YOU COUNSELING & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LPC, NCC
Authorized Official - Phone:205-565-8884
Mailing Address - Street 1:1105 SOUTHVIEW LN STE 103 P.O. BOX 178
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405
Mailing Address - Country:US
Mailing Address - Phone:205-565-8884
Mailing Address - Fax:
Practice Address - Street 1:16448 POTTERY LN
Practice Address - Street 2:
Practice Address - City:MOUNDVILLE
Practice Address - State:AL
Practice Address - Zip Code:35474-6252
Practice Address - Country:US
Practice Address - Phone:205-565-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESSENTIALLY YOU COUNSELING & CONSULTING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-08
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)