NPIMap

Organization Active NPI

Family Therapy and Wellness Center of Central Alabama, LLC

  • Professional Counselor
  • Vestavia Hills, AL
National Provider Identifier
1790286565
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3342 Issued in AL
Legal business name
FAMILY THERAPY AND WELLNESS CENTER OF CENTRAL ALABAMA, LLC
Practice address
1401 Montgomery Hwy Ste 126
Vestavia Hills, AL 35216-3690
Phone
(205) 335-3651
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Authorized official

Name
Mrs. Vaneshia Jenkins, LPCNPI 1407203375
Title
Owner
Phone
(205) 335-3651

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3342 AL Primary

Addresses

Primary practice location

1401 Montgomery Hwy Ste 126
Vestavia Hills, AL 35216-3690

Mailing address

1401 Montgomery Hwy Ste 126
Vestavia Hills, AL 35216-3690
Phone (205) 335-3651

National Provider Directory

National Provider Directory

Locations

1401 Montgomery Hwy
Ste 126
Vestavia Hills, AL 35216
Phone (205) 335-3651

Practitioners & affiliated clinicians

Practitioners 2

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": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1790286565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTGOMERY HWY STE 126",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163690",
            "telephone_number": "205-335-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTGOMERY HWY STE 126",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163690",
            "telephone_number": "205-335-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY AND WELLNESS CENTER OF CENTRAL ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "VANESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-335-3651",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.