Healthcare Provider Details

I. General information

NPI: 1508590472
Provider Name (Legal Business Name): GATHERING TRUTH COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/14/2022
Certification Date: 06/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 CAHABA MANOR LN
PELHAM AL
35124-1518
US

IV. Provider business mailing address

504 CAHABA MANOR LN
PELHAM AL
35124-1518
US

V. Phone/Fax

Practice location:
  • Phone: 740-312-5620
  • Fax:
Mailing address:
  • Phone: 740-312-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM BENJAMIN JOHNSON
Title or Position: OWNER/OPERARTOR
Credential: LPC
Phone: 740-312-5620