NPIMap

Organization Active NPI

Family Life Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Fort Payne, AL
National Provider Identifier
1740334358
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FAMILY LIFE CENTER, INC.
Practice address
300 Gault Ave S
Fort Payne, AL 35967-1824
Phone
(256) 997-9356
Fax
(256) 997-9314
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Eugune R Cleckler, LCSW
Title
Executive Director
Phone
(256) 997-9356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

300 Gault Ave S
Fort Payne, AL 35967-1824

Mailing address

300 Gault Ave S
Fort Payne, AL 35967-1824
Phone (256) 997-9356

National Provider Directory

National Provider Directory

Locations

300 Gault Ave S
Fort Payne, AL 35967
Phone (256) 997-9356

211 S Market St
Scottsboro, AL 35768
Phone (256) 574-3448

Practitioners & affiliated clinicians

Practitioners 3

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740334358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GAULT AVE S",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671824",
            "telephone_number": "256-997-9356",
            "fax_number": "256-997-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GAULT AVE S",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671824",
            "telephone_number": "256-997-9356",
            "fax_number": "256-997-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLECKLER",
        "authorized_official_first_name": "EUGUNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-997-9356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.