KOLBE CLINIC B LLC NPI 1396330809

NPI Information

NPI: 1396330809
Provider Name: KOLBE CLINIC B, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 01D2096590

Address:
109 FOOTHILLS PKWY STE 113
CHELSEA, AL
ZIP 35043
Phone: (205) 618-9899
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KOLBE CLINIC B, LLC is a mental health (including community mental health center) clinic center in Chelsea, AL. KOLBE CLINIC B, LLC NPI is 1396330809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 FOOTHILLS PKWY STE 113
CHELSEA, AL
ZIP 35043-236
Phone: (205) 618-9899
Fax: (205) 618-9706

The provider's authorized official is William Carl Wainscott .
The authorized official title is Ceo and has the following contact phone number (205) 775-0300.

The CLIA number assigned to this NPI record is 01D2096590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 3/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	207QA0401X	Family Medicine	Addiction Medicine	No
3	207RG0100X	Internal Medicine	Gastroenterology	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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