Shoals Committee on Programs and Employment for the Mentally Retarded

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED

Practice address

201 S Court St
Florence, AL 35630-5609

Phone

(256) 768-0903

Fax

(256) 768-0518

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Arvy Glenn Dupuy III, MS

Title

Executive Director

Phone

(256) 768-0901

Specialties & licenses 1

Addresses

Tax ID family

Scope 310 Authority2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shoals Committee on Programs and Employment for the Mentally Retarded

  • Early Intervention Provider Agency
  • Florence, AL
  • NPI 1992256952
  NPD tax ID

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1194905687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COURT ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305609",
            "telephone_number": "256-768-0903",
            "fax_number": "256-768-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COURT ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305609",
            "telephone_number": "256-768-0903",
            "fax_number": "256-768-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS COMMITTEE ON PROGRAMS AND EMPLOYMENT FOR THE MENTALLY RETARDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "DUPUY",
        "authorized_official_first_name": "ARVY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-768-0901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly L Sherrod, LICSW-S, PIP
• Michael Shifflet
• Phillip Palmer Shipp IV, DDS
• Shoals Ambulance LLC (Priority Ambulance)
• Shoals Audiology
• Shoals Committee on Programs and Employment for the Mentally Retarded
• Shoals Counseling, LLC
• Shoals Dental Center, Inc
• Shoals Foot and Ankle Clinic PC
• Shoals Gastroenterology LLC

• Community/Behavioral Health Agency in Florence, AL
• Providers in Florence, 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 Nov 13, 2007; 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.