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MONTGOMERY AREA PSYCHIATRIC SERVICES LLC NPI 1700278777


NPI Information

NPI: 1700278777
Provider Name: MONTGOMERY AREA PSYCHIATRIC SERVICES, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
2430 FAIRLANE DR
SUITE C-07
MONTGOMERY, AL
ZIP 36116
Phone: (334) 318-0044
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MONTGOMERY AREA PSYCHIATRIC SERVICES, LLC is an adolescent and children mental health clinic center in Montgomery, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MONTGOMERY AREA PSYCHIATRIC SERVICES, LLC NPI is 1700278777. The provider is registered as an organization entity type.

The provider's business location address is:

2430 FAIRLANE DR
SUITE C-07
MONTGOMERY, AL
ZIP 36116-642
Phone: (334) 318-0044

The provider's authorized official is Babatunde Abolade .
The authorized official title is Member and has the following contact phone number (334) 318-0044.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 2/26/2015.


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
1261QM0850XClinic/CenterAdult Mental Health25622ALABAMANo
2261QM0855XClinic/CenterAdolescent and Children Mental Health25622ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I16556MEDICARE UPINALABAMA

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

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