ALABAMA CENTER FOR TRAUMA THERAPY (NPI# 1861922056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861922056 |
Entity Type | Organization |
Organization Name | ALABAMA CENTER FOR TRAUMA THERAPY |
Other Organization Name | ACTT |
Practice Address |
2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 |
Mailing Address |
2135 Interstate Dr Ste 202 Opelika AL 36801-1526 |
Practice Telephone | 3343324447 |
Mailing Telephone | 3343324447 |
Enumeration Date | 2017-06-19 |
Last Update Date | 2018-03-16 |
Authorized Official Name | MR. KEVIN E MULLINS (DIRECTOR) |
Authorized Official Telephone | 3343324447 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
3042 | AL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ACTT | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Alabama Business Registrations | Alabama Center for Trauma Therapy, LLC | 2135 Interstate Dr Suite 202, Opelika, AL 36801 |
Street Address |
2431 E GLENN AVE STE 400 |
City | AUBURN |
State | AL |
Zip Code | 36830-6419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023354990 | Jennings B. Haynes | Psychologist | 2431 E Glenn Ave Ste 400, Auburn, AL 36830-6419 | 2012-12-21 |
1730687237 | Ligare, LLC | Psychologist | 2431 E Glenn Ave Ste 400, Auburn, AL 36830-6419 | 2018-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
Find all providers in zip 36830 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
1306144837 | Beautiful Minds Medical, Inc. | Clinic/Center | 13300 New Airport Rd Ste 100, Auburn, CA 95602-7407 | 2011-03-08 |
1467062711 | Prevail Counseling and Wellness, LLC | Clinic/Center | 166 N Gay St Ste 21, Auburn, AL 36830-2004 | 2020-08-02 |
1942826268 | Sea Mar Community Health Centers | Clinic/Center | 202 Cross St Se, Auburn, WA 98002-5406 | 2020-06-23 |
1487282620 | Auburn Psychological Wellness Center LLC | Clinic/Center | 311 N College St, Auburn, AL 36830-3814 | 2020-04-01 |
1992344261 | Dr. Jane, LLC | Clinic/Center | 311 N College St, Auburn, AL 36830-3814 | 2020-01-03 |
1225674880 | Auburn Psychological Wellness Services, LLC | Clinic/Center | 311 N College St, Auburn, AL 36830-3814 | 2019-11-19 |
1548811466 | Caitlyn Dunham, Licsw, Psychotherapist, LLC | Clinic/Center | 489 Washington St Ste 204, Auburn, MA 01501-5709 | 2019-09-23 |
1497177950 | Auburn Behavioral Health, LLC | Clinic/Center | 328 E Magnolia Ave, Auburn, AL 36830-4802 | 2014-01-16 |
1194874610 | Cayuga Counseling Services Inc | Clinic/Center | 17 East Genesee St, Auburn, NY 13021 | 2007-01-10 |
Find all providers in AUBURN |
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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.