South Shelby Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOUTH SHELBY WELLNESS, LLC

Practice address

262 Yeager Pkwy Ste F
Pelham, AL 35124-4884

Phone

(205) 617-1446

NPI assigned

May 4, 2021

Last updated

Nov 11, 2021By 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

Melissa WoodyNPI 1295325207

Title

Licensed Professional Counselor

Phone

(205) 617-1446

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Melissa Woody, LPC

  • Professional Counselor
  • Pelham, AL
  • NPI 1295325207
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1952984148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 NOTTINGHAM DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350404984",
            "telephone_number": "205-617-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 YEAGER PKWY STE F",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244884",
            "telephone_number": "205-617-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHELBY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "205-617-1446"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267463",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas James Smitherman III, M.D.
• Christine Floyd Snead, LPC
• Robert Craven Snyder Jr., M.D.
• Eric S Solomon, MD
• Sound Mind Counseling LLC
• Joanna Poland Southard, P.T.
• Southern Oaks Residential Academy (Southern Oaks Center)
• Southern Radiology Services
• Southern Radiology Services, LLC
• Jasmine Enise Spruill, CCC-SLP

• Professional Counselor in Pelham, AL
• Providers in Pelham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.