Provider Demographics
NPI:1912221300
Name:SE AL COUNSELING AND BEHAVIORAL SPECIALISTS, LLC
Entity Type:Organization
Organization Name:SE AL COUNSELING AND BEHAVIORAL SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ESPEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC,NCC,EAP
Authorized Official - Phone:334-699-8743
Mailing Address - Street 1:6346 GENE TERRY RD
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:36320-4253
Mailing Address - Country:US
Mailing Address - Phone:334-699-8743
Mailing Address - Fax:334-699-8748
Practice Address - Street 1:6346 GENE TERRY RD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AL
Practice Address - Zip Code:36320-4253
Practice Address - Country:US
Practice Address - Phone:334-699-8743
Practice Address - Fax:334-699-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1337251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health