Provider Demographics
NPI:1750031076
Name:THAXTON LITTLE COUNSELING LLC
Entity Type:Organization
Organization Name:THAXTON LITTLE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:THAXTON
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-245-4039
Mailing Address - Street 1:2101 EXECUTIVE PARK DR STE 206
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6199
Mailing Address - Country:US
Mailing Address - Phone:334-245-4039
Mailing Address - Fax:
Practice Address - Street 1:2101 EXECUTIVE PARK DR STE 206
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6199
Practice Address - Country:US
Practice Address - Phone:334-245-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)