NPIMap

Organization Active NPI

Southeast Alabama Counseling & Behavioral Specialist

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dothan, AL
National Provider Identifier
1639347818
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SOUTHEAST ALABAMA COUNSELING & BEHAVIORAL SPECIALIST
Practice address
407 Honeysuckle Rd Ste 207
Dothan, AL 36305
Phone
(334) 699-8743
Fax
(334) 699-8748
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Beth Robley
Title
Office MGR
Phone
(334) 699-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X AL Primary

Addresses

Primary practice location

407 Honeysuckle Rd Ste 207
Dothan, AL 36305

Mailing address

407 Honeysuckle Rd Ste 207
Dothan, AL 36305
Phone (334) 699-8743

Other names 1

  • SEAL Counseling Other name

National Provider Directory

National Provider Directory
Tax ID family
SE Al Counseling and Behavioral Specialists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639347818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HONEYSUCKLE RD STE 207",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36305",
            "telephone_number": "334-699-8743",
            "fax_number": "334-699-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HONEYSUCKLE RD STE 207",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36305",
            "telephone_number": "334-699-8743",
            "fax_number": "334-699-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA COUNSELING & BEHAVIORAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBLEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "334-699-8743",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEAL Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.