Verlee V Young LCSW Acsw Pip LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1621C Issued in AL

Legal business name

VERLEE V YOUNG LCSW ACSW PIP LLC

Practice address

307 S McKenzie St Ste 111
Foley, AL 36535-1947

Phone

(251) 269-5936

Fax

(251) 974-3113

NPI assigned

Nov 8, 2011

Last updated

Nov 8, 2011By 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

Eden Marie Matthews, LPCNPI 1598818544

Title

Assistant

Phone

(251) 269-5936

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.

• Eden M Matthews, LPC, LMHC, CAP, ACAP

  • Professional Counselor
  • Foley, AL
  • NPI 1598818544
  NPD (past) Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1679850481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MCKENZIE ST STE 111",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351947",
            "telephone_number": "251-269-5936",
            "fax_number": "251-974-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MCKENZIE ST STE 111",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351947",
            "telephone_number": "251-269-5936",
            "fax_number": "251-974-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERLEE V YOUNG LCSW ACSW PIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "251-269-5936",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "1621C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology P.C.
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• Tammy M Vaughn, LPC
• Vinet Health Services LLC (360 Psych of South Alabama)
• VLM Mobility LLC (Mobility City of Coastal Alabama)
• Ashley Von Bergen
• Tiffany Wilson Wade, NP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0904)

• Community/Behavioral Health Agency in Foley, AL
• Providers in Foley, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.