Healthcare Provider Details

I. General information

NPI: 1285403147
Provider Name (Legal Business Name): SUTHERLAND COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 ABBOTTS WAY
HOOVER AL
35226-6353
US

IV. Provider business mailing address

4343 ABBOTTS WAY
HOOVER AL
35226-6353
US

V. Phone/Fax

Practice location:
  • Phone: 205-914-0396
  • Fax:
Mailing address:
  • Phone: 205-914-0396
  • Fax:

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: MRS. JANNA MORRISON SUTHERLAND
Title or Position: OWNER
Credential: LPC, NCC
Phone: 205-914-0396