Provider Demographics
NPI:1952796625
Name:COUNSELING CENTRE, LLC
Entity Type:Organization
Organization Name:COUNSELING CENTRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:251-948-2999
Mailing Address - Street 1:1404 W 1ST ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-4445
Mailing Address - Country:US
Mailing Address - Phone:251-948-2999
Mailing Address - Fax:251-948-0072
Practice Address - Street 1:1404 W 1ST ST
Practice Address - Street 2:SUITE F
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-4445
Practice Address - Country:US
Practice Address - Phone:251-948-2999
Practice Address - Fax:251-948-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1499C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty