LARRY BRENT EUBANKS (NPI# 1922437201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922437201 |
Entity Type | Individual |
Full Name | LARRY BRENT EUBANKS |
Credential | LCSW |
Practice Address |
256 Honeysuckle Rd Ste 2 Dothan AL 36305-1168 |
Practice Telephone | 3347926736 |
Practice Fax Number | 3347926737 |
Mailing Telephone | 3347926736 |
Mailing Fax Number | 3347926737 |
Enumeration Date | 2013-11-06 |
Last Update Date | 2019-02-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
3540C | AL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | LICENSE | 3540C | 01 |
Street Address |
256 HONEYSUCKLE RD STE 2 |
City | DOTHAN |
State | AL |
Zip Code | 36305-1168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053391581 | Dothan Psychiatric, PC | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2006-01-19 |
1770070203 | Carla Leeanna Faulkner | Behavior Technician | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2018-04-19 |
1205323730 | Hannah Lee Bush | Behavior Technician | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2018-04-19 |
1124492848 | Southern Home Care Services, Inc. | In Home Supportive Care | 256 Honeysuckle Rd, Suite 9, Dothan, AL 36305-1157 | 2015-11-18 |
1790127975 | Professional Counseling and Consulting Service LLC | Counselor | 256 Honeysuckle Rd, Suite 20 Brightleaf Court, Dothan, AL 36305-1157 | 2013-07-29 |
1508121278 | Matthew William Heard | Counselor | 256 Honeysuckle Rd, Suite 14, Dothan, AL 36305-1157 | 2012-07-09 |
1376874016 | Emily Bell | Social Worker | 256 Honeysuckle Rd, Ste 12, Dothan, AL 36305-1168 | 2010-01-20 |
1437343787 | Stacey Farris | Occupational Therapist | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2007-08-29 |
1982898235 | Kimberley Holley | Occupational Therapist | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2007-08-29 |
1083829873 | Ruthanne Wilkes | Nurse Practitioner | 256 Honeysuckle Rd, Ste 2, Dothan, AL 36305-1168 | 2007-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
Find all providers in zip 36305 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669096012 | Michael Porterfield | Social Worker | 216 Primrose Dr, Dothan, AL 36303-5538 | 2020-06-02 |
1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
1255418422 | Leslie Haynes Cude | Social Worker | 1306 Ross Clark Cir, Dothan, AL 36301-4117 | 2006-11-01 |
1578504965 | Nancy Hawkins-kahn | Social Worker | 175 Belmont Dr, Suite 2, Dothan, AL 36305-6500 | 2006-06-09 |
1982245643 | James Woodcox | Social Worker | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-10-03 |
1881250165 | Emily Bell, LLC | Social Worker | 256 Honeysuckle Rd Ste 2, Dothan, AL 36305-1168 | 2019-05-13 |
1932664653 | Jimmie Guyton | Social Worker | 201 Regency Ct, Dothan, AL 36305-1179 | 2019-02-06 |
1568966307 | Sara B Strength | Social Worker | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2018-03-19 |
1548796410 | Shannon Welch | Social Worker | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 2017-05-11 |
1447704952 | David Mohatt | Social Worker | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2016-08-12 |
Find all providers in DOTHAN |
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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.