Healthcare Provider Details

I. General information

NPI: 1154054906
Provider Name (Legal Business Name): GFG COUNSELING AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S MCDONOUGH ST STE 6
MONTGOMERY AL
36104-5850
US

IV. Provider business mailing address

640 S MCDONOUGH ST STE 6
MONTGOMERY AL
36104-5850
US

V. Phone/Fax

Practice location:
  • Phone: 762-250-9070
  • Fax:
Mailing address:
  • Phone: 762-250-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. CARMELA YVETTE DRAKE
Title or Position: OWNER/PRIVATE PRACTICE
Credential: PHD, LPC-S, NCC
Phone: 762-250-9070