MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES INC (NPI# 1487829966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487829966 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES INC |
| Other Organization Name | CHILTON-SHELBY MENTAL HEALTH CENTER |
| Practice Address |
110 Medical Center Dr Clanton AL 35045-2332 |
| Mailing Address |
Po Box 689 Calera AL 35040-0689 |
| Practice Telephone | 2057558800 |
| Practice Fax Number | 2057558882 |
| Mailing Telephone | 2057558800 |
| Mailing Fax Number | 2057558882 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MS. MELODIE D CRAWFORD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2056684308 |
| Is Organization Subpart | Y |
| Parent Organization Name | MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS/BLUE SHIELD ALL KIDS PLUS | 515-11686 | 01 |
| Other Name | Type Code |
|---|---|
| Chilton-Shelby Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247869 | Mental Health Board of Chilton and Shelby Counties Inc | Case Management | 151 Hamilton Ln, Calera, AL 35040-8700 | 2006-12-04 |
| Street Address |
110 MEDICAL CENTER DR |
| City | CLANTON |
| State | AL |
| Zip Code | 35045-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248330 | Netria Hill | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2020-02-26 |
| 1699274332 | Leslie Brett Markham | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2018-02-08 |
| 1992233134 | Haley Brooke Shirah | Licensed Practical Nurse | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2017-06-01 |
| 1346778735 | Lindsey T Maddox | Registered Nurse | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2017-05-30 |
| 1760853105 | Rhonda Hadder | Licensed Practical Nurse | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2015-10-12 |
| 1659742096 | Misty Lechantre | Licensed Practical Nurse | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2015-10-12 |
| 1548631989 | Jennifer Merritt | Registered Nurse | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2015-10-12 |
| 1366837882 | Heather Pressley | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2015-04-01 |
| 1720418395 | Kelly Duke | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2013-11-19 |
| 1073802740 | Christine Marie Mandry | Counselor | 110 Medical Center Dr, Clanton, AL 35045-2332 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912630 | Mesha Cain | Counselor | 808 Lay Dam Road, Clanton, AL 35045 | 2018-05-10 |
| 1720577562 | Erin Ellis Davis | Nurse Practitioner | 107 Medical Center Drive, Clanton, AL 35045 | 2018-05-07 |
| 1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
| 1154533958 | Sandra Gayle Burrough | Physical Therapist | Amedisys Home Health, 1601-7th Street, North, Suite B, Clanton, AL 35045 | 2007-05-04 |
| 1508088139 | Christy Vanture Stephens | Occupational Therapist | 1601 7th Street North, Clanton, AL 35045 | 2007-05-03 |
| 1477620896 | Phillip Dewey Foshee | General Practice | 310 Pinedale Rd, Clanton, AL 35045 | 2006-11-29 |
| 1396817615 | Christopher W Baker | Dentist | 101 Baker Avenue, Clanton, AL 35045 | 2006-11-14 |
| 1902985146 | Catrina G. Benson | Pharmacist | 640 Ollie Ave., Clanton, AL 35045 | 2006-11-06 |
| 1952411464 | Gladys Eleanor R Alolod | Pediatrics | 303 1st St N, Clanton, AL 35045 | 2006-08-30 |
| 1902827280 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 640 Ollie Ave, Clanton, AL 35045 | 2006-07-21 |
| Find all providers in zip 35045 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525183 | Chilton County Treatment Center | Community/Behavioral Health | 2100 Holiday Inn Dr, Clanton, AL 35046-6200 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886193 | The Cade Center LLC | Community/Behavioral Health | 2601 County Road 45, Lisman, AL 36912-2764 | 2020-09-21 |
| 1326652785 | Perfect Imperfections Behavioral Health Services LLC | Community/Behavioral Health | 1829 Princeton Ct Sw, Birmingham, AL 35211-2430 | 2020-09-03 |
| 1740893346 | Phoenix Community Support Services LLC | Community/Behavioral Health | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-08-25 |
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1902414972 | Brenda Chynoweth LLC | Community/Behavioral Health | 703 E Glenn Ave Ste D, Auburn, AL 36830-5016 | 2020-07-16 |
| 1821619453 | Abilities Unlimited LLC | Community/Behavioral Health | 1761 Wire Rd Apt 4-7, Auburn, AL 36832-6645 | 2020-05-05 |
| 1811517147 | Paths To Empowerment Counseling Services, LLC | Community/Behavioral Health | 7850 Country Dr, Mobile, AL 36619-5325 | 2020-04-16 |
| 1659904258 | The Solace Group | Community/Behavioral Health | 8129 Jackson Ave, Leeds, AL 35094-1480 | 2020-02-21 |
| 1083253504 | The Dallas Maryland Wellness Group, LLC | Community/Behavioral Health | 882 Plantation Way Ste E, Montgomery, AL 36117-2217 | 2020-01-01 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MENTAL HEALTH BOARD OF CHILTON AND SHELBY COUNTIES INC.
| 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.