Ava Maria Gregory, CPS,CPM, CAADP-BA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gadsden, AL
NPI 1457530503 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1457530503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CPM408 (AL)
- Practice address
- 901 Goodyear Ave
Gadsden, AL 35903-1106 - Phone
- (256) 492-7800
- Fax
- (256) 494-5536
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAADP004 | AL | MD | Addiction (Substance Use Disorder) Counselor |
| CPM408 | AL | MD | Addiction (Substance Use Disorder) Counselor |
| CPS1102 | AL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etowah Dekalb Cherokee Mental Health Board, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAADP004 | AL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CPM408 | AL | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CPS1102 | AL |
Addresses
Primary practice location
901 Goodyear Ave
Gadsden, AL 35903-1106
Mailing address
901 Goodyear Ave
Gadsden, AL 35903-1106
Phone (256) 492-7800
Other providers in Gadsden, AL
- Megan Green
- Susan K Green
- William F Green
- Gregersons Food Inc
- Anna Bailey Gregory
- Timothy Griffin
- Charles Henry Griffith Jr.
- Catherine Means Griggs
- Bryan I Grissett III
- Bob Dean Gross
All providers in Gadsden, 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 Oct 25, 2007. 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.