Organization Active NPI

Managing Mischief, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Enterprise, AL
National Provider Identifier
1386463008
Registry record updated Oct 9, 2024
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
MANAGING MISCHIEF, LLC
Practice address
1210 Rucker Blvd
Enterprise, AL 36330-3625
Phone
(334) 370-4435
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Samantha Dansby, LPCNPI 1669969374
Title
LPC
Phone
(334) 370-4435

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

1210 Rucker Blvd
Enterprise, AL 36330-3625

Mailing address

1210 Rucker Blvd
Enterprise, AL 36330-3625
Phone (334) 370-4435

National Provider Directory

National Provider Directory

Locations

1210 Rucker Blvd
Enterprise, AL 36330
Phone (334) 417-0236

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1386463008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303625",
            "telephone_number": "334-370-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303625",
            "telephone_number": "334-370-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGING MISCHIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DANSBY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "334-370-4435",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.