Lakeside Educational Seminars and Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2349C Issued in AL

Legal business name

LAKESIDE EDUCATIONAL SEMINARS AND SERVICES

Practice address

3400 Highway 78 E
Dr Maloney Next to Senior Care
Jasper, AL 35501-8907

Phone

(205) 471-5388

Fax

(205) 208-1709

NPI assigned

Nov 10, 2014

Last updated

Dec 11, 2014By 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

Dr. Brian John Maloney, PHD, LCSWNPI 1558667022

Title

Owner

Phone

(205) 471-5388

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.

• Brian Maloney, LCSW, PHD

  • Clinical Social Worker
  • Carbon Hill, AL
  • NPI 1558667022
  Authorized official Same address or phone

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1952707598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 3RD AVE S",
            "address_2": "UNIT 411",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355025001",
            "telephone_number": "205-471-5388",
            "fax_number": "205-208-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "DR MALONEY NEXT TO SENIOR CARE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-471-5388",
            "fax_number": "205-208-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE EDUCATIONAL SEMINARS AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-471-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2349C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
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• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Ladies Health Boutique, Inc (For Ladies Only)
• Carmen Lambert
• Kimberly Lane, MS
• Shane Lashley, MA
• Jacob Lawrence, BS
• Malia Ann Lawrence, MA

• Community/Behavioral Health Agency in Jasper, AL
• Providers in Jasper, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.