East Alabama Center For Change, Llc
LBN: East Alabama Center For Change, Llc
East Alabama Center For Change, Llc is an health care organization with primary practice located at 124 Bragg Ave , Auburn AL 36830-3809. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
East Alabama Center For Change, Llc can be contacted via phone (334) 734-2603, or through Douglas, Amber Elizabeth via phone (334) 734-2603.
Contact Information
Primary practice address
124 Bragg Ave
Auburn AL 36830-3809
Phone: (334) 734-2603
Fax: (334) 887-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | AL1749 | Alabama |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | AL1749 | Alabama |
Profile Details
| NPI number | 1902280126 |
|---|---|
| LBN Legal business name | East Alabama Center For Change, Llc |
| DBA Doing business as | |
| Authorized official | Douglas, Amber Elizabeth PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Jul 17th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902280126 | NPPES |
| Alabama | Other | 102I626774 | MEDICARE PTAN |
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