Provider Demographics
NPI:1982323994
Name:ADOPTION & PSYCHOTHERAPY ASSOC
Entity Type:Organization
Organization Name:ADOPTION & PSYCHOTHERAPY ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-353-8528
Mailing Address - Street 1:812 KENNILWORTH RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1316
Mailing Address - Country:US
Mailing Address - Phone:256-353-8528
Mailing Address - Fax:866-268-4763
Practice Address - Street 1:812 KENNILWORTH RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1316
Practice Address - Country:US
Practice Address - Phone:256-353-8528
Practice Address - Fax:866-268-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1508894940OtherLLC