Alabama Family Resource Center, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1489 Issued in AL

Legal business name

ALABAMA FAMILY RESOURCE CENTER, PC

Practice address

1881 County Road 627
Thorsby, AL 35171-8151

Phone

(205) 389-2079

NPI assigned

Nov 6, 2014

Last updated

Nov 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

G Teal DickNPI 1730355017

Title

Owner/Director

Phone

(205) 389-2079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• G Teal Dick, M.DIV. LPC-S

  • Professional Counselor
  • Thorsby, AL
  • NPI 1730355017
  NPD (past) Authorized official

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1639575426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "THORSBY",
            "state": "AL",
            "postal_code": "351710055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COUNTY ROAD 627",
            "city": "THORSBY",
            "state": "AL",
            "postal_code": "351718151",
            "telephone_number": "205-389-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA FAMILY RESOURCE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "TEAL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "205-389-2079"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances A Breslin, PHD
• Jessica Clare Broussard, MS, RDN
• Josephine Brown, FNP
• Cenrtal Alabama Medical Associates (Northside Family Practice Clinic)
• Chilton Family Medicine, P.C.

• Professional Counselor in Thorsby, AL
• Providers in Thorsby, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.