Keystone Recovery, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1058A Issued in AL

Legal business name

KEYSTONE RECOVERY, LLC

Practice address

29000 US Highway 98
Suite a-203
Daphne, AL 36526-7272

Phone

(251) 626-5797

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ashley Cassity Simpson, M.A., A.L.C., M.L.A.

Title

Program Director/Therapist

Phone

(251) 626-5797

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1407030463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 US HIGHWAY 98",
            "address_2": "SUITE A-203",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267272",
            "telephone_number": "251-626-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 US HIGHWAY 98",
            "address_2": "SUITE A-203",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267272",
            "telephone_number": "251-626-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARY ASHLEY",
        "authorized_official_middle_name": "CASSITY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "251-626-5797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., A.L.C., M.L.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "150MLAP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C1058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Daphne, AL
• Providers in Daphne, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.