Provider Demographics
NPI:1417505892
Name:BEVILL AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:BEVILL AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:DUVAL
Authorized Official - Last Name:BEVILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-610-9319
Mailing Address - Street 1:2524 VALLEYDALE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2705
Mailing Address - Country:US
Mailing Address - Phone:205-610-9319
Mailing Address - Fax:
Practice Address - Street 1:2524 VALLEYDALE RD STE 100
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2705
Practice Address - Country:US
Practice Address - Phone:205-610-9319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty