Organization Active NPI

Humbled Healing, LLC

  • Community/Behavioral Health Agency
  • Enterprise, AL
National Provider Identifier
1003406620
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMBLED HEALING, LLC
Practice address
100 Sagebrush Dr
Enterprise, AL 36330-4444
Phone
(334) 447-1841
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doris Trina' Sisk, LICSW
Title
Owner/Provider
Phone
(334) 447-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 Sagebrush Dr
Enterprise, AL 36330-4444

Mailing address

100 Sagebrush Dr
Enterprise, AL 36330-4444
Phone (334) 447-1841

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1003406620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAGEBRUSH DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363304444",
            "telephone_number": "334-447-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAGEBRUSH DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363304444",
            "telephone_number": "334-447-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLED HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "TRINA'",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "334-447-1841",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.