Provider Demographics
NPI:1568516334
Name:AMERICAN BEHAVIORAL
Entity Type:Organization
Organization Name:AMERICAN BEHAVIORAL
Other - Org Name:AMERICAN BEHAVIORAL BENEFITS MANAGERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP EMPLOYEE ASSISTANCE
Authorized Official - Prefix:DR
Authorized Official - First Name:LITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-868-9607
Mailing Address - Street 1:550 MONTGOMERY HIGHWAY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-868-9607
Mailing Address - Fax:205-868-9600
Practice Address - Street 1:550 MONTGOMERY HIGHWAY
Practice Address - Street 2:STE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-868-9607
Practice Address - Fax:205-868-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty