Organization Active NPI

Therapeutic Life Concepts of Central Alabama

  • Clinical Social Worker
  • Selma, AL
National Provider Identifier
1871183541
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPEUTIC LIFE CONCEPTS OF CENTRAL ALABAMA
Practice address
2918 Citizens Pkwy Ste 203
Selma, AL 36701-3947
Phone
(334) 419-1303
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mrs. Brenda Sanders McCary, LICSWNPI 1043440142
Title
Owner
Phone
(334) 419-1303

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2918 Citizens Pkwy Ste 203
Selma, AL 36701-3947

Mailing address

PO Box 115
Selma, AL 36702-0115
Phone (334) 872-9060

Other names 2

  • TLC Doing business as
  • TLC of Central Alabama Doing business as

National Provider Directory

National Provider Directory

Locations

2918 Citizens Pkwy
Ste 203
Selma, AL 36701
Phone (334) 419-1303

Practitioners & affiliated clinicians

Practitioners 1

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1871183541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020115",
            "telephone_number": "334-872-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 CITIZENS PKWY STE 203",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367013947",
            "telephone_number": "334-419-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LIFE CONCEPTS OF CENTRAL ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MCCARY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SANDERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-419-1303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TLC of Central Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.