Provider Demographics
NPI:1326874561
Name:EUNOIA COUNSELING & CONSULTING LLC.
Entity type:Organization
Organization Name:EUNOIA COUNSELING & CONSULTING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:DEON
Authorized Official - Last Name:JONES-FARREN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW-S
Authorized Official - Phone:205-830-4833
Mailing Address - Street 1:2052 CHANDALAR CT
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1344
Mailing Address - Country:US
Mailing Address - Phone:205-830-4833
Mailing Address - Fax:
Practice Address - Street 1:2052 CHANDALAR CT
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1344
Practice Address - Country:US
Practice Address - Phone:205-830-4833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty