Mending Hearts Counseling Services of Central Alabama, LLC

Organization Active NPI Social Worker · Talladega, AL

NPI 1366202046 · NPPES record last updated Mar 20, 2024

Key facts

NPI: 1366202046
Entity type: Organization (NPI type 2)
Primary specialty: Social Worker 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
Organization subpart: No

Authorized official

Name: Stephanie Dates, LICSW NPI 1831829191
Title: Administrator
Phone: (256) 493-5783

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

Practitioners 1

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

Stephanie Renee Dates, LICSW Clinical Social Worker · Talladega, AL · NPI 1831829191

NPD Authorized official

National Provider Directory

Locations

310 Coosa St E
Talladega, AL 35160
Phone (256) 493-5783

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	104100000X			Yes

Addresses

Primary practice location

310 Coosa St E
Talladega, AL 35160-2276

Mailing address

PO Box 1233
Talladega, AL 35161-1233

Other providers in Talladega, AL

All providers in Talladega, AL · Social Worker in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.