Laurelwood Equine Assisted Discoveries, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAURELWOOD EQUINE ASSISTED DISCOVERIES, LLC

Practice address

1410 County Road 490
Hanceville, AL 35077-8127

Phone

(256) 277-1551

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Ashley Lee, MS, LPC

Title

Executive Director

Phone

(256) 476-0794

Specialties & licenses 1

Addresses

Other names 1

• LEAD Doing business as

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1154988285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 COUNTY ROAD 490",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350778127",
            "telephone_number": "256-277-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELWOOD EQUINE ASSISTED DISCOVERIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-476-0794",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher David Henderson, PHARMD
• Tracy Johnson, RPH
• Julia Renae Jones, CRNP
• McKinley Neal Jones, CRNP
• Mandy Shay Laney, CRNP
• Hope Mason, OD
• Victoria Leigh McCormick, CRNP
• MD Healthcare LLC
• Tracy Mulvehill Millwood, O.D.
• Timothy L. Nisley, RT(R)

• Community/Behavioral Health Agency in Hanceville, AL
• Providers in Hanceville, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.