Provider Demographics
NPI:1861042368
Name:PERCEPTION COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:PERCEPTION COUNSELING SERVICES, LLC
Other - Org Name:PERCEPTION COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICIAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VANHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:205-523-3636
Mailing Address - Street 1:2824 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1808
Mailing Address - Country:US
Mailing Address - Phone:205-723-2389
Mailing Address - Fax:
Practice Address - Street 1:2824 7TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1808
Practice Address - Country:US
Practice Address - Phone:205-723-2389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty