Pyramid Support Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1692C Issued in AL

Legal business name

PYRAMID SUPPORT SERVICES, LLC

Practice address

2002 Poole Dr NW
Suite #D
Huntsville, AL 35810-3887

Phone

(256) 715-1050

NPI assigned

Aug 4, 2010

Last updated

Aug 4, 2010By 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

Brenda L Vactor, LCSW

Title

Executive Director

Phone

(256) 715-1050

Specialties & licenses 1

Addresses

Locations

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.

• Shalunda Denise Allen-Sherrod, LCSW

  • Clinical Social Worker
  • Huntsville, AL
  • NPI 1548573835
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1912211798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 POOLE DR NW",
            "address_2": "SUITE #D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103887",
            "telephone_number": "256-715-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 POOLE DR NW",
            "address_2": "SUITE #D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103887",
            "telephone_number": "256-715-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "VACTOR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-715-1050",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1692C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samanger Nicole Purcell-Matthew, M.D.
• Christy M Putman, CRNA
• Zachary Dylan Putman, CRNA
• Katerina Joanna Puzinauskas Smolin, M.S., CCC-SLP
• Celia Elizabeth Pyburn, RN
• Ahmed Qaedi, MD
• Usama Qamar
• Ajwah Qasim, MD
• Qi Wan MD PC
• Michael J Quadrini, M.D.

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.