Provider Demographics
NPI:1932685419
Name:DENISE DRAA COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:DENISE DRAA COUNSELING SERVICES, LLC
Other - Org Name:LIVING LIFE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-631-7898
Mailing Address - Street 1:44 HUGHES RD STE 1050
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3046
Mailing Address - Country:US
Mailing Address - Phone:256-631-7898
Mailing Address - Fax:256-542-3366
Practice Address - Street 1:44 HUGHES RD STE 1050
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3046
Practice Address - Country:US
Practice Address - Phone:256-631-7898
Practice Address - Fax:256-542-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3589C261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)