Healthcare Provider Details

I. General information

NPI: 1124814843
Provider Name (Legal Business Name): LAKE VIEW COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 GRISTMILL DR
LAKE VIEW AL
35111-3057
US

IV. Provider business mailing address

PO BOX 262
MC CALLA AL
35111-0262
US

V. Phone/Fax

Practice location:
  • Phone: 205-401-4797
  • Fax:
Mailing address:
  • Phone: 205-401-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSALYN D DUDLEY
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 205-401-4797