CONVERGENCE FREE WILL INTERVENTION (NPI# 1407310766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407310766 |
| Entity Type | Organization |
| Organization Name | CONVERGENCE FREE WILL INTERVENTION |
| Practice Address |
303 S 11th St Gadsden AL 35901-3507 |
| Mailing Address |
1205 Gardner St Gadsden AL 35901-3040 |
| Practice Telephone | 2564781182 |
| Mailing Telephone | 2564781182 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | THERESA R SCOTT (MSPC- SOLO PROPRIETOR) |
| Authorized Official Telephone | 2564781182 |
| Authorized Official Credential | ALC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Behavioral Health | Doing Business As Name - Organization |
| Street Address |
303 S 11TH ST |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028144 | Theresa Renee Scott | Counselor | 303 S 11th St, Gadsden, AL 35901-3507 | 2018-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656903 | Jennifer Engle | Counselor | 753 Walnut St, Gadsden, AL 35901-4138 | 2020-07-09 |
| 1225660210 | Susan Watts | Counselor | 1729 Mount Zion Ave, Gadsden, AL 35904-4532 | 2020-02-07 |
| 1275028144 | Theresa Renee Scott | Counselor | 303 S 11th St, Gadsden, AL 35901-3507 | 2018-06-24 |
| 1740630102 | Kathryn Leigh Payne | Counselor | 879 S 5th St, Gadsden, AL 35901-5115 | 2016-06-16 |
| 1457799769 | Rosa M. Statom | Counselor | 405 S 8th St, Gadsden, AL 35901-4006 | 2013-06-08 |
| 1568779890 | Geri Leigh Burgess | Counselor | 750 Walnut St, Gadsden, AL 35901-4139 | 2010-09-08 |
| 1548593981 | Turningpoint Counseling Services | Counselor | 2331 Rainbow Dr Ste D, Gadsden, AL 35901-5560 | 2009-09-17 |
| 1588265672 | The Healing Loft | Counselor | 423 S 4th St, Gadsden, AL 35901-5258 | 2020-11-04 |
| 1467066779 | Lighthouse Counseling Services | Counselor | 753 Walnut St, Gadsden, AL 35901-4138 | 2020-09-03 |
| 1548778426 | Jessica Paige Isbell | Counselor | 203 N 3rd St, Gadsden, AL 35901 | 2018-01-13 |
| Find all providers in GADSDEN | ||||
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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.