Healthcare Provider Details

I. General information

NPI: 1043146566
Provider Name (Legal Business Name): BLANKENSHIP COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CORPORATE DR STE 200
BIRMINGHAM AL
35242-2732
US

IV. Provider business mailing address

3536 KINGSHILL RD
MOUNTAIN BRK AL
35223-1422
US

V. Phone/Fax

Practice location:
  • Phone: 205-502-4346
  • Fax:
Mailing address:
  • Phone: 205-597-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZA BLANKENSHIP
Title or Position: THERAPIST
Credential:
Phone: 205-597-6223