Healthcare Provider Details

I. General information

NPI: 1851897920
Provider Name (Legal Business Name): ISBELL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 WAID CIR N
SOUTHSIDE AL
35907
US

IV. Provider business mailing address

3212 CRENSHAW ST
LONGVIEW TX
75605-2502
US

V. Phone/Fax

Practice location:
  • Phone: 256-459-8229
  • Fax: 855-281-3611
Mailing address:
  • Phone: 256-459-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number3828
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number3828
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number3828
License Number StateAL

VIII. Authorized Official

Name: MS. JESSICA BRIGHT
Title or Position: DIRECTOR
Credential:
Phone: 256-459-8229