Healthcare Provider Details

I. General information

NPI: 1346324696
Provider Name (Legal Business Name): GULF COAST COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 N. MCKENZIE ST. STE. A
FOLEY AL
36535-3544
US

IV. Provider business mailing address

805 N. MCKENZIE ST. STE. A
FOLEY AL
36535-3544
US

V. Phone/Fax

Practice location:
  • Phone: 251-970-5902
  • Fax: 251-970-5903
Mailing address:
  • Phone: 251-970-5902
  • Fax: 251-970-5903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1081
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number850
License Number StateAL

VIII. Authorized Official

Name: DR. KIMBERLY WHITCHARD
Title or Position: OWNER/PSYCHOLOGIST
Credential: PH.D
Phone: 251-970-5902