Organization · Type 2 NPI
Sports/education/art (sea)
Contractor · Mobile, AL
Practice location
101 Wimbledon Drive
Mobile, AL 36608
Mailing address
6725 #51 Zeigler Blvd.
Mobile, AL 36608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84038 (AL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| School Counselor | 101YS0200X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Contractor Primary | 171W00000X | 680202508 (MI) |
| Contractor | 171W00000X | None listed |
| Recreation Therapist | 225800000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
About NPI 1265693402
Sports/education/art (sea)'s National Provider Identifier is 1265693402, issued on Jun 20, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Mobile, AL. The record was last updated on Aug 19, 2014.