Blue Cove Psychotherapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE COVE PSYCHOTHERAPY SERVICES

Practice address

917 Willowbrook Dr SE # F3
Huntsville, AL 35802-3263

Phone

(205) 420-1742

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sasha Rae Reynolds-Neu, LICSWNPI 1093902306

Title

Therapist

Phone

(205) 420-1742

Specialties & licenses 1

Addresses

Locations

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.

• Sasha Rae Reynolds-Neu, LICSW

  • Clinical Social Worker
  • Huntsville, AL
  • NPI 1093902306
  NPD Authorized official

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1154906584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 SIMPSON POINT RD",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357477913",
            "telephone_number": "205-420-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILLOWBROOK DR SE # F3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023263",
            "telephone_number": "205-420-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE COVE PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS-NEU",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "205-420-1742",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.