LEE COUNTY YOUTH DEVELOPMENT CENTER (NPI# 1619368875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619368875 |
| Entity Type | Organization |
| Organization Name | LEE COUNTY YOUTH DEVELOPMENT CENTER |
| Practice Address |
1109 Spring Dr Opelika AL 36801-5345 |
| Practice Telephone | 3347492996 |
| Practice Fax Number | 3347492975 |
| Mailing Telephone | 3347492996 |
| Mailing Fax Number | 3347492975 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MRS. LAURA COOPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3347492996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475319 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2006-08-18 |
| 1003279613 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2016-03-31 |
| 1861631962 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-02-12 |
| 1427295591 | Lee County Youth Development Center | Psychiatric Residential Treatment Facility | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-01-12 |
| 1407003486 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| 1336396399 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| Street Address |
1109 SPRING DR |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475319 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2006-08-18 |
| 1073164232 | Amber Marie Demars | Counselor | 1109 Spring Dr, Opelika, AL 36801-5345 | 2019-09-27 |
| 1003279613 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2016-03-31 |
| 1861631962 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-02-12 |
| 1427295591 | Lee County Youth Development Center | Psychiatric Residential Treatment Facility | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-01-12 |
| 1407003486 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| 1336396399 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| 1023160546 | Wendy Rebert | Psychologist | 1109 Spring Dr, Opelika, AL 36801-5345 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497229173 | Compassionate Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1904 Gloria York Ave, Mobile, AL 36617-3409 | 2019-01-16 |
| 1033696869 | Joseph J Fountain | Community Based Residential Treatment Facility, Mental Illness | 127 Daisy St, Monroeville, AL 36460-2609 | 2018-07-24 |
| 1265887632 | Inheritance House | Community Based Residential Treatment Facility, Mental Illness | 2305 Montevallo Park Road, Birmingham, AL 35223 | 2016-05-04 |
| 1275996290 | Flowing Brook Ministries | Community Based Residential Treatment Facility, Mental Illness | 2421 Presidents Dr Ste B-21, Montgomery, AL 36116-1632 | 2016-03-29 |
| 1598131047 | Rite of Passage | Community Based Residential Treatment Facility, Mental Illness | 851 Sprott Drive, Montgomery, AL 36117 | 2015-08-19 |
| 1699177295 | Morgan County System of Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3402 Tanglewood Dr Sw, Decatur, AL 35603-1332 | 2014-09-25 |
| 1194075085 | Morgan County System of Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 Church St Se, Decatur, AL 35601-3401 | 2012-09-18 |
| 1447418363 | Nobles Group Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 1313 Springhill Ave, Mobile, AL 36604-3202 | 2008-05-28 |
| 1154428423 | Volunteers of America North Alabama, Inc | Community Based Residential Treatment Facility, Mental Illness | 555 Sparkman Dr Nw, Suite 454, Huntsville, AL 35816-3418 | 2006-09-20 |
| 1174958730 | Department of Youth Services | Community Based Residential Treatment Facility, Mental Illness | 1000 Industrial School Road, Mount Meigs, AL 36057-0066 | 2013-09-13 |
| 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.