Healthcare Provider Details

I. General information

NPI: 1801726294
Provider Name (Legal Business Name): HUMBLE SERVANTS MINISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 GREENO RD N
FAIRHOPE AL
36532-3106
US

IV. Provider business mailing address

814 GREENO RD N
FAIRHOPE AL
36532-3106
US

V. Phone/Fax

Practice location:
  • Phone: 251-298-7730
  • Fax: 251-298-1919
Mailing address:
  • Phone: 251-298-7730
  • Fax: 251-298-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARSHALL LIPSCOMB
Title or Position: COUNSELOR
Credential:
Phone: 251-298-7730