Provider Type Icon

CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC NPI 1912570797


NPI Information

NPI: 1912570797
Provider Name: CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1001 COLLEGE AVE
JACKSON, AL
ZIP 36545
Phone: (251) 769-0021
Get Directions

CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC is a speech language pathologist in Jackson, AL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. CLUBHOUSE AUTISM AND DEVELOPMENTAL CENTER LLC NPI is 1912570797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 COLLEGE AVE
JACKSON, AL
ZIP 36545-402
Phone: (251) 769-0021

The provider's authorized official is Savanna Williams .
The authorized official title is Owner and has the following contact phone number (251) 751-1687.

The enumeration date for this NPI number is 7/20/2021 and was last updated on 7/20/2021.


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
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistYes
3103K00000XBehavior AnalystNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.