MEDICARE: MR. JAMES TIMOTHY PRICE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0795	AL
2	106H00000X	Marriage & Family Therapist	164	AL

General Provider Information

NPI Number	:	1285798595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES TIMOTHY PRICE LPC

Provider Business Mailing Address
First Line	:	279 W MAIN ST
Second Line	:	SUITE 2
City	:	DOTHAN
State	:	AL
Zip	:	36301-1656
Country	:	US
Telephone Number	:	334-794-7887
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 W MAIN ST
Second Line	:	SUITE 2
City	:	DOTHAN
State	:	AL
Zip	:	36301-1656
Country	:	US
Telephone Number	:	334-794-7887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	09/11/2025

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Directions to “ MR. JAMES TIMOTHY PRICE LPC” Practice Location

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