Provider Demographics
NPI:1558980672
Name:A PLACE TO BE ME, LLC
Entity Type:Organization
Organization Name:A PLACE TO BE ME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-616-5611
Mailing Address - Street 1:1116 23RD ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2410
Mailing Address - Country:US
Mailing Address - Phone:205-933-5422
Mailing Address - Fax:205-933-6013
Practice Address - Street 1:1116 23RD ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2410
Practice Address - Country:US
Practice Address - Phone:205-933-5422
Practice Address - Fax:205-933-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty