Healthcare Provider Details
I. General information
NPI: 1033159306
Provider Name (Legal Business Name): ALABAMA PSYCHIATRIC SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2868 ACTON ROAD
BIRMINGHAM AL
35243
US
IV. Provider business mailing address
2868 ACTON ROAD
BIRMINGHAM AL
35243
US
V. Phone/Fax
- Phone: 205-968-8360
- Fax: 205-968-8373
- Phone: 205-968-8360
- Fax: 205-968-8373
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUSSELL
L
ADAMS
Title or Position: COO
Credential:
Phone: 205-968-8360