NPIMap

Organization Active NPI

With Great Love, LLC

  • Community/Behavioral Health Agency
  • Daphne, AL
National Provider Identifier
1033779608
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WITH GREAT LOVE, LLC
Practice address
1203 US Highway 98 Ste 2A9
Daphne, AL 36526-3901
Phone
(314) 920-1828
Fax
(251) 243-0984
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Emily Tisdale, BCBA, LBANPI 1366957011
Title
Owner
Phone
(314) 920-1828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1203 US Highway 98 Ste 2A9
Daphne, AL 36526-3901

Mailing address

1203 US Highway 98 Ste 2A9
Daphne, AL 36526-3901
Phone (314) 920-1828

Other practice location 1

1203 US Highway 98 Ste 2A9
Daphne, AL 36526-3901
Phone (314) 920-1828

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL NeoCertified Other
Other URL NeoCertified Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1033779608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 US HIGHWAY 98 STE 2A9",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365263901",
            "telephone_number": "314-920-1828",
            "fax_number": "251-243-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 US HIGHWAY 98 STE 2A9",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365263901",
            "telephone_number": "314-920-1828",
            "fax_number": "251-243-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 US Highway 98 Ste 2A9",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365263901",
            "country_code": "US",
            "telephone_number": "314-920-1828",
            "fax_number": "251-243-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITH GREAT LOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-920-1828",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NeoCertified",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant E-mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message",
            "address_1": "1203 US Highway 98 Ste 2A9",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365263901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NeoCertified",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct message",
            "address_1": "1203 US Highway 98 Ste 2A9",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365263901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.