Provider Demographics
NPI:1013517317
Name:REMEDY BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:REMEDY BEHAVIORAL HEALTH, LLC
Other - Org Name:REMEDY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:NAKIA
Authorized Official - Last Name:SEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-627-5300
Mailing Address - Street 1:1609 MOCKINGBIRD CT STE B
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-7511
Mailing Address - Country:US
Mailing Address - Phone:256-320-7781
Mailing Address - Fax:256-320-7776
Practice Address - Street 1:1609 MOCKINGBIRD CT STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-7511
Practice Address - Country:US
Practice Address - Phone:256-320-7778
Practice Address - Fax:256-320-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty