Provider Demographics
NPI:1245723840
Name:CONSUELO VITERI, LPC, LLC
Entity type:Organization
Organization Name:CONSUELO VITERI, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CONSUELO
Authorized Official - Last Name:VITERI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-541-4047
Mailing Address - Street 1:2232 CAHABA VALLEY DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-541-4047
Mailing Address - Fax:
Practice Address - Street 1:2232 CAHABA VALLEY DR STE C
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-9606
Practice Address - Country:US
Practice Address - Phone:205-541-4047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1694101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty