Provider Demographics
NPI:1164883534
Name:CHILDREN FIRST PSYCHIATRY
Entity Type:Organization
Organization Name:CHILDREN FIRST PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KERIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-222-1241
Mailing Address - Street 1:1115 LAKE COLONY LN
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7422
Mailing Address - Country:US
Mailing Address - Phone:205-222-1241
Mailing Address - Fax:205-988-4351
Practice Address - Street 1:265 RIVERCHASE PKWY E
Practice Address - Street 2:SUITE 101
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2899
Practice Address - Country:US
Practice Address - Phone:205-988-4350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23482261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health