Healthcare Provider Details

I. General information

NPI: 1235748484
Provider Name (Legal Business Name): CALIEGH ALEVY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 07/23/2020
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 FOOTHILLS PKWY STE 113
CHELSEA AL
35043-8236
US

IV. Provider business mailing address

1830 MONTCLAIR RD STE A
IRONDALE AL
35210-2645
US

V. Phone/Fax

Practice location:
  • Phone: 205-618-9899
  • Fax: 205-618-9706
Mailing address:
  • Phone:
  • Fax: 205-618-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4247G
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: