EAST BAY COUNSELING CENTER, INC (NPI# 1558531855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558531855 |
| Entity Type | Organization |
| Organization Name | EAST BAY COUNSELING CENTER, INC |
| Practice Address |
50 S Greeno Rd Fairhope AL 36532-2069 |
| Mailing Address |
Po Box 414 Fairhope AL 36533-0414 |
| Practice Telephone | 2519281658 |
| Practice Fax Number | 2519281371 |
| Mailing Telephone | 2519281658 |
| Mailing Fax Number | 2519281371 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | JULIA REDDITT SUMMERLIN (PRESIDENT) |
| Authorized Official Telephone | 2519281658 |
| Authorized Official Credential | APRN,CS,LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
50 S GREENO RD |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912030636 | Kathleen Heath | Counselor | 50 S Greeno Rd, Fairhope, AL 36532-2069 | 2007-03-13 |
| 1265552566 | Nikoleta Despina Alexander | Chiropractor | 50 S Greeno Rd, Fairhope, AL 36532-2069 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1841430089 | Patricia Keoughan | Marriage & Family Therapist | 11 Echo Ln, Fairhope, AL 36532-1456 | 2009-02-28 |
| 1346321908 | Alice Hand Frederick | Marriage & Family Therapist | 131 Fairhope Ave, Fairhope, AL 36532-2313 | 2006-10-18 |
| 1245249358 | Julia Redditt Summerlin | Marriage & Family Therapist | 50 South Greeno Rd, Fairhope, AL 36533-0414 | 2006-08-07 |
| 1962452284 | Walter Le Rroy Elam IIi | Marriage & Family Therapist | 761 Middle St, Fairhope, AL 36532-1715 | 2006-05-10 |
| 1265976633 | Dawn Diquattro | Marriage & Family Therapist | 750 Morphy Ave, Fairhope, AL 36532 | 2016-12-05 |
| 1508136631 | Jennifer Elizabeth Andrews | Marriage & Family Therapist | 372 S Greeno Road, Fairhope, AL 36532-1916 | 2012-01-05 |
| 1235410069 | Emily Marie Dickman | Marriage & Family Therapist | 372 Greeno Rd S, Fairhope, AL 36532-1916 | 2011-09-07 |
| 1295016046 | Ashley Priola | Marriage & Family Therapist | 372 Greeno Rd S, Fairhope, AL 36532-1916 | 2011-09-07 |
| 1518268796 | Harvey Herman Joanning | Marriage & Family Therapist | 11 Echo Ln, Fairhope, AL 36532-1456 | 2010-11-04 |
| Find all providers in FAIRHOPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.