Healthcare Provider Details

I. General information

NPI: 1497584684
Provider Name (Legal Business Name): SLK MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 CALDWELL MILL RD STE A
BIRMINGHAM AL
35242-4546
US

IV. Provider business mailing address

5137 HOLLOW LOG LN
BIRMINGHAM AL
35244-1925
US

V. Phone/Fax

Practice location:
  • Phone: 205-370-7859
  • Fax:
Mailing address:
  • Phone: 205-370-7859
  • Fax: 205-431-3412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SANDRA KING
Title or Position: OWNER
Credential: CRNP
Phone: 205-370-7859