Organization Active NPI

Lily of the Valley Counseling & Supervision Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, AL
National Provider Identifier
1699513903
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LILY OF THE VALLEY COUNSELING & SUPERVISION SERVICES, LLC
Practice address
496A Highway 67 S
Decatur, AL 35603-6300
Phone
(256) 466-6269
NPI assigned
Jul 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Ashley Offord Davis, LPC-SNPI 1871749747
Title
Manger/LPC-S
Phone
(256) 466-6269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

496A Highway 67 S
Decatur, AL 35603-6300

Mailing address

496A Highway 67 S
Decatur, AL 35603-6300
Phone (256) 466-6269

National Provider Directory

National Provider Directory

Locations

496A Highway 67 S
Decatur, AL 35603
Phone (256) 466-6269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1699513903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496A HIGHWAY 67 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036300",
            "telephone_number": "256-466-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496A HIGHWAY 67 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036300",
            "telephone_number": "256-466-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY OF THE VALLEY COUNSELING & SUPERVISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "OFFORD",
        "authorized_official_title_or_position": "MANGER/LPC-S",
        "authorized_official_telephone_number": "256-466-6269",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.