Provider Demographics
NPI:1841594108
Name:CATALINA FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:CATALINA FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-PIP
Authorized Official - Phone:256-270-9970
Mailing Address - Street 1:810 REGAL DR SW
Mailing Address - Street 2:SUITE C
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5603
Mailing Address - Country:US
Mailing Address - Phone:256-270-9970
Mailing Address - Fax:256-533-3344
Practice Address - Street 1:810 REGAL DR SW
Practice Address - Street 2:SUITE C
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5603
Practice Address - Country:US
Practice Address - Phone:256-270-9970
Practice Address - Fax:256-533-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0872-2147C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health