Organization
COUNSELING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENTIS (OFFICE MANAGER)
(334) 671-1280
Entity
Organization
Contact information
Practice address
187 BELMONT DR, DOTHAN, AL 36305-6500
(334) 671-1280
Mailing address
187 BELMONT DR, DOTHAN, AL 36305-6500
(334) 671-1280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780889733
—
AL
Enumeration date
05/19/2019
Last updated
05/19/2019
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