Aspen Family Center of Alabama
Organization Active NPI Clinical Social Worker · Mountain BRK, AL
NPI 1154729622 · NPPES record last updated Dec 15, 2014
Key facts
- NPI
- 1154729622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3623C (AL)
- Legal business name
- ASPEN FAMILY CENTER OF ALABAMA
- Practice address
- 336 Richmar Dr
Mountain BRK, AL 35213-4418 - Phone
- (937) 726-8629
- NPI assigned
- Dec 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Tanya Marie Odaniel, LCSW
- Title
- Director
- Phone
- (937) 726-8629
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 3623C | AL | Yes |
Addresses
Primary practice location
336 Richmar Dr
Mountain BRK, AL 35213-4418
Mailing address
336 Richmar Dr
Mountain BRK, AL 35213-4418
Phone (937) 726-8629
Other providers in Mountain BRK, AL
- Emily Grace Apel
- Lucinda Armstrong
- Madeline Arnall
- Andrew Weil Artmann
- Grace Watts Asbury
- Associated Pathologists LLC
- Beth McClung Austin
- Kristan R Baer
- Ashley Paige Bailey
- Balanced Approach, LLC
All providers in Mountain BRK, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.