Albert Odell Cheatham, MS, ACADC, CPS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mobile, AL
NPI 1376736157 · NPPES record last updated Jan 30, 2009
Key facts
- NPI
- 1376736157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 05R076 (IA)
- Practice address
- 5705 Long Meadow Court
Mobile, AL 36609 - Phone
- (850) 529-3434
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05R076 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| AD05-020C | MS | MD | Addiction (Substance Use Disorder) Counselor |
| 1381 | MS | MD | Professional Counselor |
| 339002147 | AL | MD | Case Manager/Care Coordinator |
| P04-003C | MS | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AD05-020C | MS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1381 | MS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 05R076 | IA | Yes |
| Mental Health Counselor | 101YM0800X | 339002147 | AL | |
| Professional Counselor | 101YP2500X | |||
| Case Manager/Care Coordinator | 171M00000X | 339002147 | AL | |
| Specialist | 174400000X | P04-003C | MS |
Addresses
Primary practice location
5705 Long Meadow Court
Mobile, AL 36609
Mailing address
5705 Long Meadow CT
Mobile, AL 36609-7017
Phone (850) 529-3434
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339002147 | Medicaid | AL | |
| 339049174 | Medicaid | AL |
Other providers in Mobile, AL
- Hector D Chavarria Bernal
- David J Chavers
- Evan Austin Chavers
- Tinsley Phillips Chavers
- CHD Transportation LLC
- Susanna Cheatham
- Asad Imtiaz Cheema
- George Chen Sr.
- Tao Chen
- Tian Jian Chen
All providers in Mobile, AL · Addiction (Substance Use Disorder) Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2009. 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.