Organization Active NPI

Premier Business Development Corporation

Doing business as Serenity Place

  • Counselor
  • McCalla, AL
National Provider Identifier
1801210737
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PREMIER BUSINESS DEVELOPMENT CORPORATION
Doing business as
Serenity Place
Practice address
6424 Old Tuscaloosa Highway
McCalla, AL 35111-0737
Phone
(205) 477-9866
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mr. Terry Carter
Title
Executive Director
Phone
(205) 477-9866

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6424 Old Tuscaloosa Highway
McCalla, AL 35111-0737

Mailing address

PO Box 737
MC Calla, AL 35111-0737
Phone (205) 477-9866

Other names 1

  • Serenity Place Doing business as

National Provider Directory

National Provider Directory

Locations

6424 Old Tuscaloosa Hwy
Mc Calla, AL 35111
Phone (205) 477-9866

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1801210737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351110737",
            "telephone_number": "205-477-9866",
            "fax_number": "888-769-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 OLD TUSCALOOSA HIGHWAY",
            "city": "MCCALLA",
            "state": "AL",
            "postal_code": "351110737",
            "telephone_number": "205-477-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BUSINESS DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-477-9866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCalla, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.