Healthcare Provider Details

I. General information

NPI: 1982524054
Provider Name (Legal Business Name): KEITHA SCALF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 2ND AVE SW STE 101
CULLMAN AL
35055-4106
US

IV. Provider business mailing address

633 COUNTY ROAD 453
CULLMAN AL
35057-3110
US

V. Phone/Fax

Practice location:
  • Phone: 256-615-1102
  • Fax:
Mailing address:
  • Phone: 256-590-2379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05805
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: