Provider Demographics
NPI:1205485034
Name:VALLEY'S EDGE INTEGRATIVE COUNSELING
Entity type:Organization
Organization Name:VALLEY'S EDGE INTEGRATIVE COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:RABON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:334-487-3457
Mailing Address - Street 1:702 N ENGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2582
Mailing Address - Country:US
Mailing Address - Phone:334-487-3457
Mailing Address - Fax:334-203-9443
Practice Address - Street 1:702 N ENGLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2582
Practice Address - Country:US
Practice Address - Phone:334-487-3457
Practice Address - Fax:334-203-9443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty