Healthcare Provider Details

I. General information

NPI: 1972273621
Provider Name (Legal Business Name): BCJ COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 BROOKLAND CURV
MONTGOMERY AL
36117-4563
US

IV. Provider business mailing address

821 BROOKLAND CURV
MONTGOMERY AL
36117-4563
US

V. Phone/Fax

Practice location:
  • Phone: 334-294-9969
  • Fax:
Mailing address:
  • Phone: 334-294-9969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA A CUMMINGS-JACKSON
Title or Position: OWNER/COUNSELOR
Credential: ICAADC
Phone: 334-294-9969