| Coosa Counseling Services Llc | |
|
1302 Noble St Ste 3h Anniston AL 36201-4678 | |
| (256) 499-0512 | |
| Not Available |
| Full Name | Coosa Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1302 Noble St Ste 3h, Anniston, Alabama |
| Authorized Official Name and Position | Dana Leigh Givens (OWNER) |
| Authorized Official Contact | 2564990512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa Counseling Services Llc Po Box 45 Piedmont AL 36272-0045 Ph: (256) 499-0512 | Coosa Counseling Services Llc 1302 Noble St Ste 3h Anniston AL 36201-4678 Ph: (256) 499-0512 |
| NPI Number | 1104579663 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104579663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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