ISI THERAPEUTIC FAMILY SERVICES, LLC (NPI# 1811456510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811456510 |
| Entity Type | Organization |
| Organization Name | ISI THERAPEUTIC FAMILY SERVICES, LLC |
| Practice Address |
2206 Executive Park Dr Opelika AL 36801-6062 |
| Practice Telephone | 3343299930 |
| Practice Fax Number | 3343630740 |
| Mailing Telephone | 3343299930 |
| Mailing Fax Number | 3343630740 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | MR. CHARLES M SMITH (PRESIDENT) |
| Authorized Official Telephone | 3333299930 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2206 EXECUTIVE PARK DR |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352148 | Charles Smith | Counselor | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2005-08-03 |
| 1215493002 | Megan Teresin | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2019-02-16 |
| 1477026052 | Natasha Lillebo | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2019-01-07 |
| 1063910255 | Kathryn Elizabeth Ward | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2018-01-23 |
| 1184131302 | Chris Carpenter Horn | Assistant Behavior Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2018-01-09 |
| 1710492467 | Megan Ford Petitt | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2017-12-04 |
| 1982143046 | Lindsey Kay Brannen | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2017-02-21 |
| 1124336300 | Amanda Cook Pack | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2010-09-21 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352148 | Charles Smith | Counselor | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2005-08-03 |
| 1922629906 | Sophie Leigh Roth | Counselor | 2300 Center Hill Dr Bldg I, Opelika, AL 36801-6862 | 2020-05-01 |
| 1215577390 | Kathryn Pugh | Counselor | 2300 Center Hill Dr Bldg II, Opelika, AL 36801-6862 | 2020-01-07 |
| 1720649056 | Michelle Shields | Counselor | 2506 Lambert Dr, Opelika, AL 36801-7237 | 2019-06-26 |
| 1437611555 | Yvana Latrice Engerman | Counselor | 2101 Executive Park Dr Ste 205, Opelika, AL 36801-6041 | 2019-04-05 |
| 1285041624 | Eve Stalker | Counselor | 2506 Lambert Dr, Opelika, AL 36801-7237 | 2014-07-17 |
| 1356758700 | Lisa O Scott | Counselor | 2506 Lambert Dr, Opelika, AL 36801-7237 | 2014-07-17 |
| 1396152732 | Minnie Harrell | Counselor | 2506 Lambert Dr, Opelika, AL 36801-7237 | 2014-07-17 |
| 1194132548 | James Rowe | Counselor | 2506 Lambert Dr, Opelika, AL 36801-7237 | 2014-07-17 |
| 1225455280 | Cherie S Hall | Counselor | 2202 Gateway Dr, Suite D, Opelika, AL 36801-6869 | 2014-03-27 |
| Find all providers in OPELIKA | ||||
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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.