NPIMap

Organization Active NPI

Family Restoration Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, AL
National Provider Identifier
1932842994
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY RESTORATION CENTER, LLC
Practice address
8089 Highway 72 W Ste D
Madison, AL 35758-9531
Phone
(256) 612-8355
NPI assigned
Apr 18, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Tia Harden, LPCNPI 1952593287
Title
Owner
Phone
(256) 612-8355

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

8089 Highway 72 W Ste D
Madison, AL 35758-9531

Mailing address

8089 Highway 72 W Ste D
Madison, AL 35758-9531
Phone (256) 612-8355

National Provider Directory

National Provider Directory

Locations

8089 Highway 72 W
Ste D
Madison, AL 35758
Phone (256) 325-0424

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1932842994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 HIGHWAY 72 W STE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589531",
            "telephone_number": "256-612-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 HIGHWAY 72 W STE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589531",
            "telephone_number": "256-612-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESTORATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-612-8355",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.