Dogwood Season

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DOGWOOD SEASON

Practice address

10654 US Highway 31 Ste C
Spanish Fort, AL 36527-8691

Phone

(251) 800-1166

Fax

(251) 308-1591

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Kacy Marie East

Title

Office Manager

Phone

(251) 800-1166

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1215511720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 US HIGHWAY 31 STE C",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278691",
            "telephone_number": "251-800-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 US HIGHWAY 31 STE C",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278691",
            "telephone_number": "251-800-1166",
            "fax_number": "251-308-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD SEASON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "KACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-800-1166"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PROFESSIONAL COUNSELOR",
            "identifier": "3403",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonya@broadusoutpatientservices.com",
            "affiliation": "N",
            "address_1": "10654 US Highway 31 Ste C",
            "city": "Spanish Fort",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365278691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ella Cvirko, DMD
• Anna Carol Davis, BSN, RN
• Emily Hadley Dean, SLP
• Sydney Dean
• Shallon Dees
• Emily Chastain Domingue
• Amy Michelle Douglas, PHARMD
• Cassie Drew, PHARMD
• Morgan Dulaney
• Allison Durant

• Substance Abuse Rehabilitation Facility in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Substance Abuse Rehabilitation Facility in Alabama

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