NPIMap

Organization Active NPI

Graham Collaborative, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairhope, AL
National Provider Identifier
1245966787
Registry record updated Jul 27, 2022
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
GRAHAM COLLABORATIVE, LLC
Practice address
911 Plantation Blvd Ste a
Fairhope, AL 36532-3148
Phone
(504) 321-1380
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mrs. Brittany Kayla Graham, LMFTNPI 1861147910
Title
Owner / Therapist
Phone
(601) 508-4993

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 Primary

Addresses

Primary practice location

911 Plantation Blvd Ste a
Fairhope, AL 36532-3148

Mailing address

911 Plantation Blvd Ste a
Fairhope, AL 36532-3148
Phone (504) 321-1380

Other names 1

  • Graham Counselling Collaborative Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/calendar/appointments?currentDate=2022-08-14 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

911 Plantation Blvd
Ste A
Fairhope, AL 36532
Phone (251) 572-1050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1245966787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PLANTATION BLVD STE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323148",
            "telephone_number": "504-321-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PLANTATION BLVD STE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323148",
            "telephone_number": "504-321-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "601-508-4993",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/calendar/appointments?currentDate=2022-08-14",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "911 Plantation Blvd Ste A",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365323148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Graham Counselling Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.