Provider Demographics
NPI:1588386619
Name:DMJ COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:DMJ COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:334-590-4737
Mailing Address - Street 1:PO BOX 201578
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36120-1578
Mailing Address - Country:US
Mailing Address - Phone:334-590-4737
Mailing Address - Fax:334-284-9399
Practice Address - Street 1:8436 CROSSLAND LOOP STE 109
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8522
Practice Address - Country:US
Practice Address - Phone:334-590-4737
Practice Address - Fax:334-284-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health