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MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES NPI 1790875516


NPI Information

NPI: 1790875516
Provider Name: MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES

Doing Business As: INDIAN RIVERS CMHC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
140 COURT SQUARE
CARROLLTON, AL
ZIP 35447
Phone: (205) 367-8159
Get Directions

MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES is a mental health (including community mental health center) clinic center in Carrollton, AL. MENTAL HEALTH BD OF BIBB PICKENS AND TUSCALOOSA COUNTIES NPI is 1790875516. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Rivers Cmhc.

The provider's business location address is:

140 COURT SQUARE
CARROLLTON, AL
ZIP 35447
Phone: (205) 367-8159
Fax: (205) 391-3137

The provider's authorized official is Blake Thrasher .
The authorized official title is Cfo and has the following contact phone number (205) 391-3131.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/21/2022.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528700510MEDICAIDALABAMA
2051008111OTHERALABAMABCBS OF AL

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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