Provider Demographics
NPI:1003070939
Name:AMERICAN BEHAVIORAL
Entity Type:Organization
Organization Name:AMERICAN BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EAP COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA ALC
Authorized Official - Phone:205-908-1350
Mailing Address - Street 1:550 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 MONTGOMERY HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-1844
Practice Address - Country:US
Practice Address - Phone:205-871-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC994A305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization