Provider Demographics
NPI:1821619453
Name:ABILITIES UNLIMITED LLC
Entity Type:Organization
Organization Name:ABILITIES UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MINTON
Authorized Official - Last Name:PEEBLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CRC, LPC
Authorized Official - Phone:888-678-2767
Mailing Address - Street 1:1919 OXMOOR RD # 272
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3502
Mailing Address - Country:US
Mailing Address - Phone:888-678-2767
Mailing Address - Fax:888-678-2767
Practice Address - Street 1:1761 WIRE RD APT 4-7
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-6645
Practice Address - Country:US
Practice Address - Phone:888-678-2767
Practice Address - Fax:888-678-2767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
14660722OtherNCQH