Provider Demographics
NPI:1023543782
Name:SUSTAINABLE ENTERPRISES
Entity Type:Organization
Organization Name:SUSTAINABLE ENTERPRISES
Other - Org Name:LIFELINE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-967-0811
Mailing Address - Street 1:200 MISSIONARY RDG
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5238
Mailing Address - Country:US
Mailing Address - Phone:205-967-0811
Mailing Address - Fax:
Practice Address - Street 1:200 MISSIONARY RDG
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5238
Practice Address - Country:US
Practice Address - Phone:205-967-0811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFELINE CHILDREN'S SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-01
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health