Provider Demographics
NPI:1326652785
Name:PERFECT IMPERFECTIONS BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PERFECT IMPERFECTIONS BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYMIRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-732-3071
Mailing Address - Street 1:1829 PRINCETON CT SW
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-2430
Mailing Address - Country:US
Mailing Address - Phone:120-573-2307
Mailing Address - Fax:
Practice Address - Street 1:1829 PRINCETON CT SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-2430
Practice Address - Country:US
Practice Address - Phone:205-732-3071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health