Provider Demographics
NPI:1962117788
Name:THREE CORD COUNSELING LLC
Entity type:Organization
Organization Name:THREE CORD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAYRON
Authorized Official - Middle Name:J
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-335-5829
Mailing Address - Street 1:503 W STATE ST STE A-16
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2861
Mailing Address - Country:US
Mailing Address - Phone:256-320-4200
Mailing Address - Fax:
Practice Address - Street 1:503 W STATE ST STE A-16
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2861
Practice Address - Country:US
Practice Address - Phone:256-320-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1417404245OtherNPPES
AL1790385235OtherNPPES