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PROVISION 2 LLC NPI 1366119802


NPI Information

NPI: 1366119802
Provider Name: PROVISION 2, LLC
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
1809 DAHLKE DRIVE
CULLMAN, AL
ZIP 35058
Phone: (256) 339-9979
Get Directions

PROVISION 2, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Cullman, AL. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. PROVISION 2, LLC NPI is 1366119802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1809 DAHLKE DRIVE
CULLMAN, AL
ZIP 35058
Phone: (256) 339-9979

The provider's authorized official is Robert Wayne Smith .
The authorized official title is Owner and has the following contact phone number (256) 339-9979.

The enumeration date for this NPI number is 8/24/2021 and was last updated on 8/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineNo
4207QA0401XFamily MedicineAddiction MedicineNo
5207QA0505XFamily MedicineAdult MedicineNo
6207QG0300XFamily MedicineGeriatric MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
92084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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