The Shoulder of the Central Gulf Coast, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE SHOULDER OF THE CENTRAL GULF COAST, INC.

Doing business as

The Shoulder

Practice address

6801 Three Notch Rd
Mobile, AL 36619-1641

Phone

(251) 626-2199

Fax

(251) 626-2188

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Patrick Carr II, MA

Title

Executive Director

Phone

(251) 250-9295

Specialties & licenses 1

Addresses

Other names 1

• The Shoulder Doing business as

Locations

Practitioners 1

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

• Amy Bauer

  • Addiction (Substance Use Disorder) Counselor
  • Spanish Fort, AL
  • NPI 1609766815
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1821824111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365260637",
            "telephone_number": "251-626-2199",
            "fax_number": "251-626-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 THREE NOTCH RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191641",
            "telephone_number": "251-626-2199",
            "fax_number": "251-626-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31214 Coleman Ln",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275715",
            "country_code": "US",
            "telephone_number": "251-626-2199",
            "fax_number": "251-626-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SHOULDER OF THE CENTRAL GULF COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-250-9295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoulder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Mobile, AL
• Providers in Mobile, 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 Sep 12, 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.