Provider Demographics
NPI:1396488813
Name:PULSE COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:PULSE COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/EXECUTIVE DIRECTOR/PSYCHOT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE-ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LCSW
Authorized Official - Phone:251-268-9944
Mailing Address - Street 1:1956 UNIVERSITY BLVD SOUTH
Mailing Address - Street 2:SUITE J-297
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609
Mailing Address - Country:US
Mailing Address - Phone:251-268-9944
Mailing Address - Fax:
Practice Address - Street 1:9520 HAMILTON CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695
Practice Address - Country:US
Practice Address - Phone:251-268-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL005575300Medicaid