Organization Name: | ENTERPRISE PROFESSIONAL COUNSELING ASSOCIATES, LLC |
NPI Number: | 1154585396 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER M. SMITH (PRESIDENT/OWNER) |
Mailing Address: | 1247 Rucker Blvd Ste 11 Enterprise |
State: | AL US |
Postal Code: | 363303630 |
Phone Number: | 3342373838 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |