SPECTRACARE INTEGRATED SERVICES LLC (NPI# 1205385176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205385176 |
| Entity Type | Organization |
| Organization Name | SPECTRACARE INTEGRATED SERVICES LLC |
| Practice Address |
3542 Montgomery Hwy Dothan AL 36303-2165 |
| Mailing Address |
Po Box 1245 Dothan AL 36302-1245 |
| Practice Telephone | 3347122720 |
| Practice Fax Number | 3347122727 |
| Mailing Telephone | 3347122720 |
| Mailing Fax Number | 3347122727 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | MRS. MELISSA KIRKLAND (CHIEF EXECTUTIVE OFFICER) |
| Authorized Official Telephone | 3347122720 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRACARE HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3542 MONTGOMERY HWY |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568955698 | Katesha Lavett Ford | Counselor | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 2018-06-13 |
| 1548796410 | Shannon Welch | Social Worker | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 2017-05-11 |
| 1861932063 | Tabitha England | Counselor | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144733908 | Dothan Counseling Associates, P.C. | Clinic/Center | 540 Westgate Pkwy Ste 100, Dothan, AL 36303-3073 | 2017-11-14 |
| 1285248427 | Mentors, LLC | Clinic/Center | 1450 Ross Clark Cir Ste 3, Dothan, AL 36301-4736 | 2020-09-04 |
| 1336753581 | Lemonade, LLC | Clinic/Center | 1450 Ross Clark Cir Ste 3, Dothan, AL 36301-4736 | 2020-09-04 |
| 1568638534 | Wiregrass Mental Health Board Inc | Clinic/Center | 134 Prevatt Rd, Dothan, AL 36301-5427 | 2008-04-30 |
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|---|---|---|---|---|
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| 1801400320 | Honest T LLC | Clinic/Center | 76 Boykin Lakes Blvd, Pike Road, AL 36064-3718 | 2020-09-02 |
| 1609488113 | Alexandra Baugh LLC | Clinic/Center | 2025 Shady Crest Dr, Hoover, AL 35216-5417 | 2020-08-18 |
| 1396360574 | Creative Therapeutic Solutions LLC | Clinic/Center | 3536 Vann Rd Ste A12, Birmingham, AL 35235-3208 | 2020-06-12 |
| 1124654421 | Apollo Counseling and Mental Health Services, LLC | Clinic/Center | 1117 22nd St S Ste 208, Birmingham, AL 35205-2813 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.