Provider Demographics
NPI:1386006534
Name:DENNIS COUNSELING
Entity type:Organization
Organization Name:DENNIS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSION COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TASHUA
Authorized Official - Middle Name:BERRY
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-225-8769
Mailing Address - Street 1:308 WILSON DR SW
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-2752
Mailing Address - Country:US
Mailing Address - Phone:256-365-7004
Mailing Address - Fax:256-467-8086
Practice Address - Street 1:2750 PELHAM RD S
Practice Address - Street 2:SUITE 4
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36206-7506
Practice Address - Country:US
Practice Address - Phone:256-365-7004
Practice Address - Fax:256-467-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-27
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty