Provider Demographics
NPI:1720800881
Name:VAUGHN COUNSELING, LLC
Entity type:Organization
Organization Name:VAUGHN COUNSELING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KENA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-714-6819
Mailing Address - Street 1:108 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-9343
Mailing Address - Country:US
Mailing Address - Phone:334-714-6819
Mailing Address - Fax:
Practice Address - Street 1:1247 RUCKER BLVD STE A
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3631
Practice Address - Country:US
Practice Address - Phone:334-714-6819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty