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Organization
EMERGE COUNSELING LLC
Active
Organization
EMERGE COUNSELING LLC
Active
Other names
Ellis Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWIN THOMAS III MS, LPC (OWNER)
(334) 358-2455
Entity
Organization
Contact information
Practice address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
Mailing address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-3455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053875062
BLUE CROSS BLUE SHIELD, AMERICAN BEHAVIORAL
AL
Enumeration date
06/14/2022
Last updated
12/13/2024
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