Provider Demographics
NPI:1902257348
Name:ALICIA WINKLE COUNSELING, LLC
Entity Type:Organization
Organization Name:ALICIA WINKLE COUNSELING, LLC
Other - Org Name:PEARL BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, BC-TMH
Authorized Official - Phone:256-886-8529
Mailing Address - Street 1:115 MANNING DR SW STE A202
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4341
Mailing Address - Country:US
Mailing Address - Phone:256-886-8529
Mailing Address - Fax:
Practice Address - Street 1:115 MANNING DR SW STE A202
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4341
Practice Address - Country:US
Practice Address - Phone:256-886-8529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty