KIMYATTA GREATHOUSE FAILS LPCNCCCAC NPI 1134396278

NPI Information

  • NPI: 1134396278
  • Provider Name: KIMYATTA GREATHOUSE FAILS, LPC,NCC,CAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9505 COLLETON PL
    MONTGOMERY, AL
    ZIP 36117
  • Phone: (706) 442-5372

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NPI Details

Kimyatta Greathouse Fails, LPC,NCC,CAC is a professional counselor in Montgomery, AL. Kimyatta Greathouse Fails, LPC,NCC,CAC NPI is 1134396278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9505 COLLETON PL
MONTGOMERY, AL
ZIP 36117-436
Phone: (706) 442-5372

The NPI 1134396278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 9/17/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)6140COLORADONo
2101YP2500XCounselorProfessional76321TEXASNo
3101YP2500XCounselorProfessional3689COLORADOYes
4101YM0800XCounselorMental Health17750NORTH CAROLINANo
5101YP2500XCounselorProfessional3375ALABAMANo
6101YP2500XCounselorProfessional8637IDAHONo

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: 3/30/2025

NPI Synchronization or Removal

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