Healthcare Provider Details

I. General information

NPI: 1275454563
Provider Name (Legal Business Name): KEARNS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W TROY ST STE 1211
DOTHAN AL
36303-4516
US

IV. Provider business mailing address

PO BOX 231
OZARK AL
36361-0231
US

V. Phone/Fax

Practice location:
  • Phone: 571-393-9462
  • Fax:
Mailing address:
  • Phone: 571-393-9462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELLEY KEARNS
Title or Position: OWNER
Credential: LPC
Phone: 571-393-9462