Healthcare Provider Details

I. General information

NPI: 1922993690
Provider Name (Legal Business Name): QUINN COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 ESSLINGER DR
GURLEY AL
35748-9365
US

IV. Provider business mailing address

498 ESSLINGER DR
GURLEY AL
35748-9365
US

V. Phone/Fax

Practice location:
  • Phone: 256-616-4384
  • Fax:
Mailing address:
  • Phone: 256-616-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB JACKSON QUINN
Title or Position: MANAGING MEMBER
Credential:
Phone: 256-616-4384