KREATING YOUR PATH FIRM LLC (NPI# 1992334221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992334221 |
Entity Type | Organization |
Organization Name | KREATING YOUR PATH FIRM LLC |
Practice Address |
5010 Gary Ave Fairfield AL 35064-1349 |
Mailing Address |
1141 16th St Sw Birmingham AL 35211-2741 |
Practice Telephone | 2056435644 |
Mailing Telephone | 2056435644 |
Enumeration Date | 2020-04-07 |
Last Update Date | 2020-04-13 |
Authorized Official Name | JOHNECE M SMITH (CEO, OWER) |
Authorized Official Telephone | 2056435644 |
Authorized Official Credential | LPC, NCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
5010 GARY AVE |
City | FAIRFIELD |
State | AL |
Zip Code | 35064-1349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922561232 | Johnece M Smith | Counselor | 5010 Gary Ave, Fairfield, AL 35064-1349 | 2019-04-12 |
1043835812 | Kenya Grace Marsh | Counselor | 5010 Gary Ave, Fairfield, AL 35064-1349 | 2020-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912553181 | Arrie Lee Bickerstaff | Technician | 7109 Westmoreland Drive, Fairfield, AL 35064 | 2019-08-14 |
1053724252 | Mobile Medicine of Alabama | Clinic/Center | 7070 Aaron Aronov Drive, Suite 88, Fairfield, AL 35064 | 2014-06-05 |
1952545063 | Toxey Edward Dorsett | Dentist | 325 Valley Road, Fairfield, AL 35064 | 2009-04-21 |
1962536250 | John C Sparks | Chiropractor | 7070 Aronov Dr, Suite E, Fairfield, AL 35064 | 2007-03-16 |
1932294709 | Allen W Kessler | Dentist | 316 Valley Road, Fairfield, AL 35064 | 2006-10-04 |
1982706396 | The Eyecare Place | Technician/Technologist | 5011 Gary Ave., Fairfield, AL 35064 | 2006-09-05 |
1306814405 | James Francis Delong | Internal Medicine | 6554 Aaron Aronov Dr, American Family Care Inc, Fairfield, AL 35064 | 2006-03-14 |
1336678044 | Stephanie Bennett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-06 |
1427587088 | Dequarus Terrell Nevett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-07 |
1841315298 | Cheryl Jeanne Szabo | Specialist | 5700 Valley Rd, Fairfield, AL 35064-1218 | 2007-03-21 |
Find all providers in zip 35064 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1972095701 | Crestwood Behavioral Health,inc | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533 | 2018-06-06 |
1255823613 | Caminar | Clinic/Center | 1735 Enterprise Dr Ste 105a, Fairfield, CA 94533-6822 | 2018-06-01 |
1407913064 | Health & Social Services | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2007-01-03 |
1295890945 | Health and Social Services | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2006-12-23 |
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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.