Healthcare Provider Details

I. General information

NPI: 1528484029
Provider Name (Legal Business Name): UNITY BEHAVIORAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 S BRANNON STAND RD 1
DOTHAN AL
36305-7004
US

IV. Provider business mailing address

2310 S BRANNON STAND RD 1
DOTHAN AL
36305-7004
US

V. Phone/Fax

Practice location:
  • Phone: 334-792-4222
  • Fax: 334-792-4738
Mailing address:
  • Phone: 334-792-4222
  • Fax: 334-792-4738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CATRINA COPELAND
Title or Position: CEO
Credential: ED.D
Phone: 334-718-1937