Healthcare Provider Details

I. General information

NPI: 1437659265
Provider Name (Legal Business Name): A CALLING CONSULTING AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 18TH ST WEST SUITE 101
JASPER AL
35501
US

IV. Provider business mailing address

1200 6TH AVE S
JASPER AL
35501-4606
US

V. Phone/Fax

Practice location:
  • Phone: 205-471-7509
  • Fax: 205-384-6397
Mailing address:
  • Phone: 205-515-3591
  • Fax: 205-384-6397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3161
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2122B
License Number StateAL

VIII. Authorized Official

Name: MR. CHARLES CHRISTOPHER TAYLOR
Title or Position: OWNER
Credential: PC
Phone: 205-471-7509