Provider Demographics
NPI:1356173009
Name:DANNE WILSON COUNSELING, LLC
Entity type:Organization
Organization Name:DANNE WILSON COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TOMEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNE-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-607-2351
Mailing Address - Street 1:1352 PRATT HWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-2831
Mailing Address - Country:US
Mailing Address - Phone:205-607-2351
Mailing Address - Fax:
Practice Address - Street 1:1352 PRATT HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-2831
Practice Address - Country:US
Practice Address - Phone:205-607-2351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty