Provider Demographics
NPI:1477387827
Name:A & D BEHAVIORAL SOLUTIONS LLC
Entity type:Organization
Organization Name:A & D BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DETERRENCE
Authorized Official - Middle Name:DEON
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-524-6785
Mailing Address - Street 1:2651 MADELINE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-6094
Mailing Address - Country:US
Mailing Address - Phone:334-524-6785
Mailing Address - Fax:
Practice Address - Street 1:2651 MADELINE LN
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-6094
Practice Address - Country:US
Practice Address - Phone:334-524-6785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty