Provider Demographics
NPI:1720265440
Name:ALABAMA COURT SERVICES
Entity Type:Organization
Organization Name:ALABAMA COURT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:POLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LGSW
Authorized Official - Phone:205-447-0400
Mailing Address - Street 1:2531 MEADOWVIEW LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-4343
Mailing Address - Country:US
Mailing Address - Phone:205-447-0400
Mailing Address - Fax:
Practice Address - Street 1:1128 E LAKE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35217-2446
Practice Address - Country:US
Practice Address - Phone:205-849-1012
Practice Address - Fax:205-849-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2224G251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health