Healthcare Provider Details
I. General information
NPI: 1407535768
Provider Name (Legal Business Name): COMPREHENSIVE COUNSELING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 GRAND AVE SW
FORT PAYNE AL
35967-1917
US
IV. Provider business mailing address
PO BOX 276
MENTONE AL
35984-0276
US
V. Phone/Fax
- Phone: 256-254-9628
- Fax:
- Phone: 256-254-9628
- Fax: 256-991-0424
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LYNNA
MEADOWS
MORTON
Title or Position: OWNER
Credential: PHD
Phone: 225-788-8102