Provider Demographics
NPI:1184280067
Name:THE LISTENING PLACE LLC
Entity type:Organization
Organization Name:THE LISTENING PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:BRACKEN
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC CT
Authorized Official - Phone:251-236-7076
Mailing Address - Street 1:602 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-1340
Mailing Address - Country:US
Mailing Address - Phone:251-236-7076
Mailing Address - Fax:251-867-1493
Practice Address - Street 1:1121 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-1500
Practice Address - Country:US
Practice Address - Phone:251-236-7076
Practice Address - Fax:251-867-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health