CAMELLIA THERAPEUTIC FOSTER AGENCY LLC (NPI# 1295064269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295064269 |
| Entity Type | Organization |
| Organization Name | CAMELLIA THERAPEUTIC FOSTER AGENCY LLC |
| Practice Address |
407 S Seale Rd Phenix City AL 36869-7304 |
| Mailing Address |
407 S Seale Rd P.o. Box 788 Phenix City AL 36869-7304 |
| Practice Telephone | 7063923331 |
| Practice Fax Number | 3342988599 |
| Mailing Telephone | 7063923331 |
| Mailing Fax Number | 3342988599 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | DR. JOSEPH APPIAH (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7063923331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 034627 | AL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | EDS/SDHR339000000 | 339091102 | 01 |
| AL | 339089024 | 05 | |
| AL | EDS/SDHR339000000 | 339091202 | 01 |
| Street Address |
407 S SEALE RD |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36869-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1093048720 | Lesia Smith | Counselor | 370 Martin Luther King Jr. Parkway South, Phenix City, AL 36869 | 2009-09-14 |
| 1760641500 | Kzb | Public Health or Welfare | 1114th 16th Court South, Phenix, AL 36869 | 2008-06-06 |
| 1265829337 | Chelsea Scarlett Navarro | Specialist/Technologist | 2700 College Dr Apt 1803, Phenix City, AL 36869-2025 | 2015-04-16 |
| 1760804231 | Eric Graves Sr. | Social Worker | 1 Colonial Ct, Phenix City, AL 36869-2618 | 2014-01-17 |
| 1093371940 | Meleesa Geathers | Contractor | 8 Clayton Ct, Phenix City, AL 36869-3462 | 2019-05-16 |
| 1962960740 | Latasha A Green | Contractor | 25 Kalin St, Phenix City, AL 36869-3469 | 2019-03-11 |
| 1528697224 | Christina Marie Covington | Psychologist | 5 Balsa Dr, Phenix City, AL 36869-3486 | 2020-04-04 |
| 1255890885 | Tremekia Lashae Weston | Behavior Technician | 244 Highway 165, Phenix City, AL 36869-3487 | 2019-03-13 |
| 1578039913 | Kendra Lyons-stovall | Behavioral Analyst | 40 Red Maple Dr, Phenix City, AL 36869-3493 | 2018-10-23 |
| Find all providers in zip 36869 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701112 | Tears Teens Empowerment Awareness With Resolutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 206 E Oak St, Tuskegee, AL 36083-1819 | 2014-08-25 |
| 1093068199 | Working On Womanhood Program | Residential Treatment Facility, Emotionally Disturbed Children | 6001 12th Ave E Ste B, Tuscaloosa, AL 35405-5163 | 2012-10-26 |
| 1568793362 | Sequel Tsi of Alabama, LLC New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 318a Hamer Rd, Owens Cross Roads, AL 35763-9612 | 2010-01-19 |
| 1700116373 | Sequel Tsi of Paint Rock Valley, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3890 County Road 20, Trenton, AL 35774-7423 | 2010-01-05 |
| 1528398161 | Atonement Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3570 11th St Ne, Tuscaloosa, AL 35404-1906 | 2010-01-04 |
| 1740518117 | Moriah Christian Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 417 County Road 446, Dutton, AL 35744-8457 | 2009-11-24 |
| 1346482866 | Pinnacle Behavior Health, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 29495 Copperhead Lane, Elkmont, AL 35620 | 2009-03-30 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1841480571 | Children's Aid Society | Residential Treatment Facility, Emotionally Disturbed Children | 181 West Valley Ave, Suite 300, Homewood, AL 35209-3698 | 2007-07-30 |
| 1992995815 | Joseph F Weldy Home for Children Inc | Residential Treatment Facility, Emotionally Disturbed Children | 13271 Hwy 171 N, Winfield, AL 35594 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36869 |
Please comment or provide details below to improve the information on CAMELLIA THERAPEUTIC FOSTER AGENCY LLC.
| 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.