Provider Demographics
NPI:1811431109
Name:CALVERT AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:CALVERT AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-918-6161
Mailing Address - Street 1:5184 CALDWELL MILL RD
Mailing Address - Street 2:SUITE 204-290 (MAIL ONLY)
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1912
Mailing Address - Country:US
Mailing Address - Phone:205-918-6161
Mailing Address - Fax:888-972-6921
Practice Address - Street 1:402 OFFICE PARK DR
Practice Address - Street 2:SUITE 300B
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2417
Practice Address - Country:US
Practice Address - Phone:205-918-6161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty