Provider Demographics
NPI:1649987918
Name:BEN DEBELL COUNSELING AND CONSULTING, LLC.
Entity type:Organization
Organization Name:BEN DEBELL COUNSELING AND CONSULTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-826-7462
Mailing Address - Street 1:3313 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2166
Mailing Address - Country:US
Mailing Address - Phone:205-826-7462
Mailing Address - Fax:
Practice Address - Street 1:5700 DEERFOOT PKWY
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2632
Practice Address - Country:US
Practice Address - Phone:205-826-7462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health