Organization Active NPI

Alabama Coastal Counseling Services, LLC

  • Clinical Social Worker
  • Spanish Fort, AL
National Provider Identifier
1083391346
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALABAMA COASTAL COUNSELING SERVICES, LLC
Practice address
9786 Timber Cir Ste a
Spanish Fort, AL 36527-5460
Phone
(251) 202-9290
NPI assigned
Jun 29, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Christopher Cordon, LICSWNPI 1316315468
Title
Owner
Phone
(251) 656-0399

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9786 Timber Cir Ste a
Spanish Fort, AL 36527-5460

Mailing address

9786 Timber Cir Ste a
Spanish Fort, AL 36527-5460
Phone (251) 202-9290

National Provider Directory

National Provider Directory

Locations

809C Daphne Ave
Ste 101A
Daphne, AL 36526

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": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1083391346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9786 TIMBER CIR STE A",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275460",
            "telephone_number": "251-202-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9786 TIMBER CIR STE A",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275460",
            "telephone_number": "251-202-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA COASTAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CORDON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-656-0399",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.