SEQUEL TSI OF ALABAMA, LLC NEW DIRECTIONS (NPI# 1568793362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568793362 |
| Entity Type | Organization |
| Organization Name | SEQUEL TSI OF ALABAMA, LLC NEW DIRECTIONS |
| Practice Address |
318a Hamer Rd Owens Cross Roads AL 35763-9612 |
| Practice Telephone | 2567257170 |
| Practice Fax Number | 2567257169 |
| Mailing Telephone | 2567257170 |
| Mailing Fax Number | 2567257169 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | MR. JOHN STUPAK (PRESIDENT) |
| Authorized Official Telephone | 2674198913 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEQUEL TSI OF ALABAMA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
318A HAMER RD |
| City | OWENS CROSS ROADS |
| State | AL |
| Zip Code | 35763-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437612298 | Amy Elizabeth Hendricks | Nurse Practitioner | 6727 Highway 431 S Ste L, Owens Cross Roads, AL 35763 | 2019-04-09 |
| 1215418868 | Rachel Sullivan | Dietitian, Registered | 301 Old Highway 431, Owens Cross Roads, AL 35763 | 2018-08-22 |
| 1689007262 | Michelle Lassiter | Speech-Language Pathologist | 3202 Stone Path Ln Se, Hampton Cove, AL 35763 | 2013-08-18 |
| 1790929222 | Tommie Matthew Robinson IIi | Family Medicine | 3217 Cove Lake Rd Se, Owens Cross Roads, AL 35763 | 2009-04-28 |
| 1053475715 | Kay Chiropractic P.C. | Chiropractor | 6388 431 S, Suite3, Owens Cross Rds, AL 35763 | 2006-12-20 |
| 1396816872 | Jessica Allen Chew | Massage Therapist | 184 Old Hwy 431, Suite C, Hampton Cove, AL 35763 | 2006-11-13 |
| 1295763894 | Claude Jefferson Case | Nurse Anesthetist, Certified Registered | 2503 Audubon Lane, Owens X Rds, AL 35763 | 2006-06-30 |
| 1558859157 | Flint River Family Medicine, P.C. | Clinic/Center | 6388b Highway 431 S Ste 2, Owens Cross Roads, AL 35763 | 2018-04-29 |
| 1881091791 | Fitness for Life | Dietitian, Registered | 327 Old Highway 431 Ste C, Huntsville, AL 35763 | 2014-11-21 |
| 1821335787 | Charlotte Karen Lemay | Pharmacist | 6707 Highway 431 S, Owens Cross Roads, AL 35763 | 2013-01-12 |
| Find all providers in zip 35763 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701112 | Tears Teens Empowerment Awareness With Resolutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 206 E Oak St, Tuskegee, AL 36083-1819 | 2014-08-25 |
| 1093068199 | Working On Womanhood Program | Residential Treatment Facility, Emotionally Disturbed Children | 6001 12th Ave E Ste B, Tuscaloosa, AL 35405-5163 | 2012-10-26 |
| 1700116373 | Sequel Tsi of Paint Rock Valley, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3890 County Road 20, Trenton, AL 35774-7423 | 2010-01-05 |
| 1528398161 | Atonement Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3570 11th St Ne, Tuscaloosa, AL 35404-1906 | 2010-01-04 |
| 1295064269 | Camellia Therapeutic Foster Agency LLC | Residential Treatment Facility, Emotionally Disturbed Children | 407 S Seale Rd, Phenix City, AL 36869-7304 | 2009-12-21 |
| 1740518117 | Moriah Christian Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 417 County Road 446, Dutton, AL 35744-8457 | 2009-11-24 |
| 1346482866 | Pinnacle Behavior Health, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 29495 Copperhead Lane, Elkmont, AL 35620 | 2009-03-30 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1841480571 | Children's Aid Society | Residential Treatment Facility, Emotionally Disturbed Children | 181 West Valley Ave, Suite 300, Homewood, AL 35209-3698 | 2007-07-30 |
| 1992995815 | Joseph F Weldy Home for Children Inc | Residential Treatment Facility, Emotionally Disturbed Children | 13271 Hwy 171 N, Winfield, AL 35594 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
| City | OWENS CROSS ROADS |
| Zip Code | 35763 |
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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.