Innovative Sobriety Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE SOBRIETY SOLUTIONS, LLC

Practice address

6707 Taylor Cir
Suite C
Montgomery, AL 36117-7706

Phone

(334) 399-3661

Fax

(855) 414-2958

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lula Bridges, AADC, MAC, CCBT

Title

Q-Substance Abuse Professional

Phone

(334) 399-3661

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1114381290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230441",
            "address_2": "SUITE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361230441",
            "telephone_number": "334-399-3661",
            "fax_number": "855-414-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 TAYLOR CIR",
            "address_2": "SUITE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177706",
            "telephone_number": "334-399-3661",
            "fax_number": "855-414-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SOBRIETY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "LULA",
        "authorized_official_title_or_position": "Q-SUBSTANCE ABUSE PROFESSIONAL",
        "authorized_official_telephone_number": "334-399-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AADC, MAC, CCBT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.