Provider Demographics
NPI:1730874959
Name:CENTRAL ALABAMA COUNSELING, LLC
Entity type:Organization
Organization Name:CENTRAL ALABAMA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-329-3399
Mailing Address - Street 1:392 COOSA COUNTY ROAD 83
Mailing Address - Street 2:
Mailing Address - City:GOODWATER
Mailing Address - State:AL
Mailing Address - Zip Code:35072-2033
Mailing Address - Country:US
Mailing Address - Phone:256-596-1225
Mailing Address - Fax:256-329-3344
Practice Address - Street 1:3368 HIGHWAY 280 STE G18
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3307
Practice Address - Country:US
Practice Address - Phone:256-329-3399
Practice Address - Fax:256-329-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty