Provider Demographics
NPI:1831546449
Name:THIGPEN COUNSELING AND CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:THIGPEN COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:THIGPEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-710-2594
Mailing Address - Street 1:505 N SEMINARY ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4678
Mailing Address - Country:US
Mailing Address - Phone:256-710-2594
Mailing Address - Fax:256-712-5295
Practice Address - Street 1:505 N SEMINARY ST
Practice Address - Street 2:SUITE 5
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4678
Practice Address - Country:US
Practice Address - Phone:256-710-2594
Practice Address - Fax:256-712-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty