Healthcare Provider Details

I. General information

NPI: 1356254056
Provider Name (Legal Business Name): JENNI GOOLSBY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ACER TRL
ALABASTER AL
35007-7688
US

IV. Provider business mailing address

400 ACER TRL
ALABASTER AL
35007-7688
US

V. Phone/Fax

Practice location:
  • Phone: 205-587-0171
  • Fax:
Mailing address:
  • Phone: 205-587-0171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GOOLSBY
Title or Position: COUNSELOR
Credential: LPC05496
Phone: 205-587-0171