Provider Demographics
NPI:1659642791
Name:SEASONS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SEASONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:EDWARDS
Authorized Official - Last Name:CAUTHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-378-9038
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-0474
Mailing Address - Country:US
Mailing Address - Phone:205-378-9038
Mailing Address - Fax:205-285-9562
Practice Address - Street 1:517 18TH ST N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-4843
Practice Address - Country:US
Practice Address - Phone:205-378-9038
Practice Address - Fax:205-285-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2566101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty