Mending Hearts Counseling Services of Central Alabama, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MENDING HEARTS COUNSELING SERVICES OF CENTRAL ALABAMA, LLC

Practice address

310 Coosa St E
Talladega, AL 35160-2276

Phone

(256) 493-5783

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Dates, LICSWNPI 1831829191

Title

Administrator

Phone

(256) 493-5783

Specialties & licenses 1

Addresses

Locations

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.

• Stephanie Renee Dates, LICSW

  • Clinical Social Worker
  • Talladega, AL
  • NPI 1831829191
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1366202046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351611233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COOSA ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602276",
            "telephone_number": "256-493-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS COUNSELING SERVICES OF CENTRAL ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DATES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-493-5783",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Massey, C.R.N.P
• Kristen Michelle McCormack
• Amos Troy McGalliard, R.N.
• Mary Page H McKinney, CRNP
• Rachael Blaz Meier, CRNP, FNP-C
• Merit Health Care, PC
• Robin L Merkel, C.R.N.P.
• Michael R. Price Jr. DMD LLC (Talladega Dental Associates)
• Tracie Michelle Mitchell, CRNP
• Modern Hearing Aid Center Inc. (East Alabama Hearing Clinic)

• Social Worker in Talladega, AL
• Providers in Talladega, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.