Provider Demographics
NPI:1760035455
Name:COME AS YOU ARE COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:COME AS YOU ARE COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINZEN
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:256-206-3361
Mailing Address - Street 1:400 WELL ST NE UNIT 1966
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-2288
Mailing Address - Country:US
Mailing Address - Phone:915-373-1451
Mailing Address - Fax:
Practice Address - Street 1:2042 BELTLINE RD SW STE A120
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5691
Practice Address - Country:US
Practice Address - Phone:256-206-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)