| Organization Name: | LAURELTREE FAMILY & ACADEMIC COUNSELING SERVICES INC |
| NPI Number: | 1588750459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOE R. CREEL (PRESIDENT) |
| Mailing Address: | 1058 N Main St Arab |
| State: | AL US |
| Postal Code: | 350167000 |
| Phone Number: | 2566771092 |
| Fax Number: | 2565866715 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |