Organization Active NPI

Family Success Center of Etowah County, Inc.

  • Community/Behavioral Health Agency
  • Gadsden, AL
National Provider Identifier
1104661800
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SUCCESS CENTER OF ETOWAH COUNTY, INC.
Practice address
821 E Broad St
Gadsden, AL 35903-2444
Phone
(256) 547-6888
Fax
(256) 547-6388
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Mrs. Emma Yevonne Hazelwood-Clapp, M.S. CFLE
Title
Executive Director
Phone
(256) 547-6888

Specialties & licenses 1

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

Addresses

Primary practice location

821 E Broad St
Gadsden, AL 35903-2444

Mailing address

821 E Broad St
Gadsden, AL 35903-2444
Phone (256) 547-6888

National Provider Directory

National Provider Directory

Locations

821 E Broad St
Gadsden, AL 35903
Phone (256) 547-6888

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1104661800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E BROAD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032444",
            "telephone_number": "256-547-6888",
            "fax_number": "256-547-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BROAD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032444",
            "telephone_number": "256-547-6888",
            "fax_number": "256-547-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUCCESS CENTER OF ETOWAH COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "HAZELWOOD-CLAPP",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "YEVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-547-6888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CFLE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.