Provider Demographics
NPI:1548726532
Name:BORDEN COUNSLEING & CONSULTATION LLC
Entity type:Organization
Organization Name:BORDEN COUNSLEING & CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSLEOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC,NCSC
Authorized Official - Phone:205-937-8668
Mailing Address - Street 1:204 KILLOUGH DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-6910
Mailing Address - Country:US
Mailing Address - Phone:205-937-8668
Mailing Address - Fax:
Practice Address - Street 1:204 KILLOUGH DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-6910
Practice Address - Country:US
Practice Address - Phone:205-937-8668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty