Provider Demographics
NPI:1649747916
Name:RED BIRD COUNSELING LLC
Entity Type:Organization
Organization Name:RED BIRD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS-NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-348-1563
Mailing Address - Street 1:461 CAPSHAW RD NW STE F
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7940
Mailing Address - Country:US
Mailing Address - Phone:256-348-1563
Mailing Address - Fax:
Practice Address - Street 1:461 CAPSHAW RD NW STE F
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7940
Practice Address - Country:US
Practice Address - Phone:256-348-1563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty