THE CENTRE NPI 1104073592

NPI Information

NPI: 1104073592
Provider Name: THE CENTRE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1290 MAIN ST STE E
DAPHNE, AL
ZIP 36526
Phone: (251) 625-0118
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THE CENTRE is a mental health counselor in Daphne, AL. THE CENTRE NPI is 1104073592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1290 MAIN ST STE E
DAPHNE, AL
ZIP 36526-624
Phone: (251) 625-0118
Fax: (251) 625-0116

The provider's authorized official is Robert Edwin Colclough .
The authorized official title is Director and has the following contact phone number (251) 625-0118.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 9/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC 111 AL	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	515 92982	OTHER	ALABAMA	BLUE CROSS
2	515 92986	OTHER	ALABAMA	BLUE CROSS ROBERT COLCLOUGH

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: 4/28/2024

NPI Synchronization or Removal

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