ECD PROGRAM, INC (NPI# 1215434378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215434378 |
| Entity Type | Organization |
| Organization Name | ECD PROGRAM, INC |
| Practice Address |
808 Downtowner Loop W Mobile AL 36609-5519 |
| Mailing Address |
5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 |
| Practice Telephone | 2513419504 |
| Practice Fax Number | 2513419509 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MRS. JEMECE EMANUEL GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| Authorized Official Credential | MSW, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
AL-10019-M | AL | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
808 DOWNTOWNER LOOP W |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727508 | Jaime Michelle Matthews | Counselor | 808 Downtowner Loop W, Mobile, AL 36609-5519 | 2020-07-21 |
| 1629686118 | Yarah Noel Whitfield | Counselor | 808 Downtowner Loop W, Mobile, AL 36609-5519 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140004 | Veterans Recovery Resources | Clinic/Center | 1156 Spring Hill Ave, Mobile, AL 36604-2726 | 2017-12-15 |
| 1982734752 | The Salvation Army, A Georgia Corporation | Clinic/Center | 1009 Dauphin St, Mobile, AL 36604-2509 | 2007-03-07 |
| 1750439105 | Addiction & Mental Health Services, LLC | Clinic/Center | 1000 Hillcrest Rd, Suite 304, Mobile, AL 36695-3994 | 2007-01-08 |
| 1801053079 | Addiction & Mental Health Services, Inc | Clinic/Center | 1000 Hillcrest Rd, Suite 304, Mobile, AL 36695-3994 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912467309 | Synergy Medical Partners, LLC | Clinic/Center | 4950 Memorial Pkwy Nw Ste B, Huntsville, AL 35810-2424 | 2019-03-21 |
| 1396008462 | Addiction & Mental Health Services Inc | Clinic/Center | 401 S 9th St, Opelika, AL 36801-4951 | 2012-06-22 |
| 1114233418 | Davis Treatment Program | Clinic/Center | 1113 Air Base Blvd, Montgomery, AL 36108-3103 | 2010-08-24 |
| 1528218278 | Addiction & Mental Health Services, LLC | Clinic/Center | 101 Aviators View Drive, Suite B, Calera, AL 35040 | 2008-09-30 |
| 1285881698 | Substance Abuse Council of Nortwest Alabama, Inc. | Clinic/Center | 54 Wheeler Hills Rd, Rogersville, AL 35652-7911 | 2008-08-27 |
| 1073769469 | Addiction & Mental Health Services Inc | Clinic/Center | 826 Leighton Ave, Anniston, AL 36207-5748 | 2008-08-18 |
| 1881887479 | Addiction & Mental Health Services Inc | Clinic/Center | 2531 Highway 20 West, Decatur, AL 35602 | 2007-08-27 |
| 1053469593 | Addiction & Mental Health Services, LLC | Clinic/Center | 114 Adris Pl, Dothan, AL 36303-1997 | 2007-01-08 |
| 1639227085 | Addiction & Mental Health Services, LLC | Clinic/Center | 386 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-01-08 |
| 1710035159 | Addiction & Mental Health Services Inc | Clinic/Center | 2210 Gateway Dr Ste B, Opelika, AL 36801-6875 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.