NPIMap

Organization Active NPI

Tears Teens Empowerment Awareness With Resolutions, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tuskegee, AL
National Provider Identifier
1952701112
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
32025061 Issued in AL
Legal business name
TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.
Practice address
206 E Oak St
Tuskegee, AL 36083-1819
Phone
(334) 226-1255
Fax
(334) 727-1643
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Angelia Walton, MS/CPM, CAADP
Title
Executive Director
Phone
(334) 291-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 32025061 AL Primary

Addresses

Primary practice location

206 E Oak St
Tuskegee, AL 36083-1819

Mailing address

1011 S Railroad St
Phenix City, AL 36867-6220
Phone (334) 291-6363

Other identifiers 2

IdentifierTypeStateIssuer
106867MedicaidAL
1801045117OtherALNPI NUMBER FOR TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.

Other names 1

  • BRIDGES Girls Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridges Girls Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

206 E Oak St
Tuskegee, AL 36083
Phone (334) 226-1255

Practitioners & affiliated clinicians

Practitioners 2

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": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1952701112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S RAILROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676220",
            "telephone_number": "334-291-6363",
            "fax_number": "334-291-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E OAK ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831819",
            "telephone_number": "334-226-1255",
            "fax_number": "334-727-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-291-6363",
        "authorized_official_credential": "MS/CPM, CAADP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "32025061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106867",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.",
            "identifier": "1801045117",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGES Girls Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.