Healthcare Provider Details

I. General information

NPI: 1669048260
Provider Name (Legal Business Name): VISION COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 03/03/2024
Certification Date: 03/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W VALLEY AVE STE 229
BIRMINGHAM AL
35209-3691
US

IV. Provider business mailing address

181 W VALLEY AVE STE 229
BIRMINGHAM AL
35209-3691
US

V. Phone/Fax

Practice location:
  • Phone: 205-679-8096
  • Fax: 205-778-4341
Mailing address:
  • Phone: 205-563-5836
  • Fax: 205-778-4341

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
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAIGE MONIQUE REYNOLDS
Title or Position: MANAGING MEMBER/ OWNER
Credential: LPC
Phone: 205-563-5836