Organization Active NPI

Self Reliance Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1902790579
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SELF RELIANCE BEHAVIORAL HEALTH, LLC
Practice address
2108 Rocky Ridge Rd
Hoover, AL 35216-5138
Phone
(205) 569-4770
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Tamika Michelle Harris, CRNPNPI 1356886949
Title
Psychiatric Nurse Practitioner
Phone
(205) 569-4770

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2108 Rocky Ridge Rd
Hoover, AL 35216-5138

Mailing address

2108 Rocky Ridge Rd
Hoover, AL 35216-5138
Phone (205) 569-4770

National Provider Directory

National Provider Directory

Locations

2108 Rocky Ridge Rd
Hoover, AL 35216
Phone (205) 569-4770

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": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1902790579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 ROCKY RIDGE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165138",
            "telephone_number": "205-569-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 ROCKY RIDGE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165138",
            "telephone_number": "205-569-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF RELIANCE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHIATRIC  NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-569-4770",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.