Healthcare Provider Details

I. General information

NPI: 1619750452
Provider Name (Legal Business Name): SUTTON COUNSELING SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 HIGHWAY 81
PHIL CAMPBELL AL
35581-6030
US

IV. Provider business mailing address

6900 HIGHWAY 81
PHIL CAMPBELL AL
35581-6030
US

V. Phone/Fax

Practice location:
  • Phone: 256-436-8681
  • Fax:
Mailing address:
  • Phone: 256-436-8681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SUE SUTTON
Title or Position: OWNER/THERAPIST
Credential: MA LPC
Phone: 256-436-8681