Provider Demographics
NPI:1013516699
Name:CR COUNSELING LLC
Entity Type:Organization
Organization Name:CR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLECE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:205-451-9456
Mailing Address - Street 1:4628 MONTEVALLO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-3100
Mailing Address - Country:US
Mailing Address - Phone:205-644-8796
Mailing Address - Fax:
Practice Address - Street 1:4628 MONTEVALLO RD STE 101
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-3100
Practice Address - Country:US
Practice Address - Phone:205-644-8796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)