Healthcare Provider Details

I. General information

NPI: 1588386619
Provider Name (Legal Business Name): DMJ COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8436 CROSSLAND LOOP STE 109
MONTGOMERY AL
36117-8522
US

IV. Provider business mailing address

PO BOX 201578
MONTGOMERY AL
36120-1578
US

V. Phone/Fax

Practice location:
  • Phone: 334-590-4737
  • Fax: 334-284-9399
Mailing address:
  • Phone: 334-590-4737
  • Fax: 334-284-9399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
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: MS. DEBRA D JARRETT
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 334-590-4737