LIFE COUNSELING CENTER, LLC NPI 1205354222

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Muscle Shoals, AL

NPI 1205354222 Organization Clinic/Center Mental Health (Including Community Menta...

About LIFE COUNSELING CENTER, LLC

Life Counseling Center, Llc is a provider established in Muscle Shoals, Alabama specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Life Counseling Center, Llc is 1205354222 and was assigned on August 2017. The practitioner's primary taxonomy code is 261QM0801X with license number C2580A (AL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Allison Rebekah Fisehr (Licensed Counselor)

NPI

1205354222

Provider NameLIFE COUNSELING CENTER, LLC
Provider Location Address100 ALABAMA AVE. SUITE C MUSCLE SHOALS, AL 35661
Provider Mailing Address100 ALABAMA STE C MUSCLE SHOALS, AL 35661
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-30-2017
Last Update Date08-30-2017


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License No.C2580A
License StateAL

Business Address

LIFE COUNSELING CENTER, LLC
100 ALABAMA AVE.
SUITE C
MUSCLE SHOALS, AL
ZIP 35661
Phone:

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Mailing Address

LIFE COUNSELING CENTER, LLC
100 ALABAMA STE C
MUSCLE SHOALS, AL
ZIP 35661
Phone: (256) 810-7502



Authorized Official

Authorized Official NameMRS. ALLISON REBEKAH FISEHR
Authorized Official TitleLICENSED COUNSELOR
Authorized Official Phone(256) 810-7502

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.