Provider Demographics
NPI:1497177950
Name:AUBURN BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:AUBURN BEHAVIORAL HEALTH, LLC
Other - Org Name:AUBURN BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:334-322-4678
Mailing Address - Street 1:328 E MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4802
Mailing Address - Country:US
Mailing Address - Phone:334-329-7155
Mailing Address - Fax:334-329-7155
Practice Address - Street 1:328 E MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4802
Practice Address - Country:US
Practice Address - Phone:334-329-7155
Practice Address - Fax:334-329-7155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL539261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)