Organization
FAMILY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH L ELLIS M.S., L.M.F.T. (OWNER)
(334) 308-2292
Entity
Organization
Contact information
Practice address
557 GLOVER AVE., SUITE 3, ENTERPRISE, AL 36330-2024
(334) 308-2292
(334) 347-2919
Mailing address
557 GLOVER AVE., SUITE 3, ENTERPRISE, AL 36330-2024
(334) 308-2292
(334) 347-2919
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
212
AL
Other
Enumeration date
09/03/2008
Last updated
07/31/2015
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