Healthcare Provider Details
I. General information
NPI: 1811014020
Provider Name (Legal Business Name): AIDS ALABAMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3532 7TH CT S
BIRMINGHAM AL
35222-3215
US
IV. Provider business mailing address
3521 7TH AVE S
BIRMINGHAM AL
35222-3210
US
V. Phone/Fax
- Phone: 205-918-8195
- Fax: 205-251-2722
- Phone: 205-324-9822
- Fax: 205-324-9881
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
KEVIN
FINNEY
Title or Position: CFO
Credential:
Phone: 205-324-9822