Organization
COUNSELORMICHLIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE EDWARDS (LPC/CEO)
(251) 447-3703
Entity
Organization
Contact information
Practice address
3762 MOFFETT RD STE A, MOBILE, AL 36618-1222
(251) 447-3703
Mailing address
304 CHIDESTER AVE, MOBILE, AL 36607-2119
(251) 447-3703
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2306
AL
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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