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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