Provider Demographics
NPI:1275189094
Name:RED MOUNTAIN COUNSELING, LLC
Entity type:Organization
Organization Name:RED MOUNTAIN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:MCLURE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-910-6955
Mailing Address - Street 1:2305 ARLINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4111
Mailing Address - Country:US
Mailing Address - Phone:205-910-6955
Mailing Address - Fax:205-933-9280
Practice Address - Street 1:2305 ARLINGTON AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4111
Practice Address - Country:US
Practice Address - Phone:205-933-9276
Practice Address - Fax:205-933-9280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty