Provider Demographics
NPI:1144796129
Name:FAMILY ASSOCIATED CHARITY OF ALABAMA
Entity Type:Organization
Organization Name:FAMILY ASSOCIATED CHARITY OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:PLEASANT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:205-223-8134
Mailing Address - Street 1:PO BOX 1841
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35201-1841
Mailing Address - Country:US
Mailing Address - Phone:205-223-8134
Mailing Address - Fax:205-957-6601
Practice Address - Street 1:1600 4TH AVE N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-5711
Practice Address - Country:US
Practice Address - Phone:205-223-8134
Practice Address - Fax:205-957-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty