Healthcare Provider Details

I. General information

NPI: 1700331006
Provider Name (Legal Business Name): ECM HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11348 HIGHWAY 20
FLORENCE AL
35633-2702
US

IV. Provider business mailing address

11348 HIGHWAY 20
FLORENCE AL
35633-2702
US

V. Phone/Fax

Practice location:
  • Phone: 256-764-6087
  • Fax:
Mailing address:
  • Phone: 256-764-6087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7000