Provider Demographics
NPI:1720253990
Name:BEHAVIORAL SERVICES AND CONSULTING, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL SERVICES AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:256-883-7031
Mailing Address - Street 1:165 WHITESPORT DR SW
Mailing Address - Street 2:STE 1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7426
Mailing Address - Country:US
Mailing Address - Phone:256-883-7031
Mailing Address - Fax:256-883-7032
Practice Address - Street 1:165 WHITESPORT DR SW
Practice Address - Street 2:STE 1
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7426
Practice Address - Country:US
Practice Address - Phone:256-883-7031
Practice Address - Fax:256-883-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL277251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51529399OtherBCBS ALABAMA
AL51530081OtherAMERICAN BEHAVIORAL