Provider Demographics
NPI:1740742485
Name:THE NOOK COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:THE NOOK COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:251-219-8607
Mailing Address - Street 1:216 BERWYN DR W APT 83
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2129
Mailing Address - Country:US
Mailing Address - Phone:251-454-0665
Mailing Address - Fax:
Practice Address - Street 1:900 DOWNTOWNER BLVD STE A-1
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5435
Practice Address - Country:US
Practice Address - Phone:251-219-8607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1609385962OtherPRIVATE SECTOR