Mission of Mercy, Inc. (Moms, Inc.)

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

5095 Issued in AL

Legal business name

MISSION OF MERCY, INC. (MOMS, INC.)

Practice address

414 E Tuscaloosa St
Florence, AL 35630-4726

Phone

(256) 617-4263

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By 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

Mr. David Earl McCullough, MA, ALCNPI 1245738178

Title

Vice-President, Clinical Director

Phone

(256) 617-4263

Specialties & licenses 1

Addresses

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.

• David Earl McCullough

  • Professional Counselor
  • Florence, AL
  • NPI 1245738178
  NPD (past) Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1801331699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S PINE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305532",
            "telephone_number": "256-617-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E TUSCALOOSA ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304726",
            "telephone_number": "256-617-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION OF MERCY, INC. (MOMS, INC.)",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "VICE-PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "256-617-4263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, ALC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AL",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Parker Mims
• Helen Wallace Mininger, CRNA
• Miranda Ainsworth D/B/a Stepping Stone Pediatric Therapy, LLC (Stepping Stone Pediatric Therapy, LLC)
• Aubrey S Miree IV, ATC LAT
• Anand Donald Mishra, M.D.
• Mitchell Internal Medicine Clinic
• Mitchell-Hollingsworth Nursing & Rehab Center (Mitchell-Hollingsworth Nursing)
• Erin Sprinkle Mitchell, CRNP
• Ira Lyman Mitchell Jr., M.D.
• Michael T Mitchell, MD

• Substance Abuse Rehabilitation Facility in Florence, AL
• Providers in Florence, AL by specialty
• Substance Abuse Rehabilitation Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.