SUMMERLANE COUNSELING LLC
NPI 1679285365
Counselor - Professional in Montgomery, AL

Active since December 14, 2022
964 EXCELSIOR DR, MONTGOMERY, AL 36117(334) 413-2235 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About SUMMERLANE COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Summerlane Counseling Llc, a provider established in Montgomery, Alabama operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1679285365 assigned on December 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Memendra Harris M.ed, Lpc-s, Ncc, Ma (Managing Director)

NPI
1679285365 Verify this NPI
Provider Name
SUMMERLANE COUNSELING LLC
Entity Type
Organization
Location Address
964 EXCELSIOR DR MONTGOMERY, AL 36117
Location Phone
(334) 413-2235
Mailing Address
4171 LOMAC ST. STE F #1127 MONTGOMERY, AL 36106
Mailing Phone
(334) 413-2235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2022
Last Update Date
12-15-2022
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Location Map

Secondary Locations

  • 300 Broad St
    Selma, AL 36701
    (334) 413-2235

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MEMENDRA HARRIS M.ED, LPC-S, NCC, MA

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(334) 413-2235

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679285365, enumerated as an "organization" on December 14, 2022.

The provider is located at 964 EXCELSIOR DR MONTGOMERY, AL 36117 and the phone number is (334) 413-2235.

Counselor with taxonomy code 101YP2500X and a focus in Professional.