Provider Demographics
NPI:1457912008
Name:COUCH COUNSELING PC
Entity Type:Organization
Organization Name:COUCH COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:KENNEDY
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, MS, CFAE
Authorized Official - Phone:256-235-3799
Mailing Address - Street 1:1307 CHRISTINE AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4661
Mailing Address - Country:US
Mailing Address - Phone:256-235-3799
Mailing Address - Fax:256-235-3709
Practice Address - Street 1:1307 CHRISTINE AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4661
Practice Address - Country:US
Practice Address - Phone:256-235-3799
Practice Address - Fax:256-235-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health