Organization Active NPI

New Leaf Child and Family Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
National Provider Identifier
1194293712
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW LEAF CHILD AND FAMILY THERAPY LLC
Practice address
2825 7TH St
Tuscaloosa, AL 35401-1807
Phone
(205) 718-0538
NPI assigned
Nov 13, 2018
Last updated
Feb 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Authorized official

Name
Ms. Danielle Russo, MFTANPI 1730668781
Title
Owner
Phone
(205) 718-0538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2825 7TH St
Tuscaloosa, AL 35401-1807

Mailing address

2825 7TH St
Tuscaloosa, AL 35401-1807
Phone (205) 718-0538

National Provider Directory

National Provider Directory

Locations

2805 7th St
Tuscaloosa, AL 35401
Phone (205) 523-5590

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": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1194293712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "205-718-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011807",
            "telephone_number": "205-718-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF CHILD AND FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-718-0538",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFTA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.