Healthcare Provider Details

I. General information

NPI: 1811450489
Provider Name (Legal Business Name): ALL TALK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 OLD HIGHWAY 431 STE C
HAMPTON COVE AL
35763-9474
US

IV. Provider business mailing address

331 CREEKWOOD DR
UNION GROVE AL
35175-7992
US

V. Phone/Fax

Practice location:
  • Phone: 256-346-6166
  • Fax: 256-849-0445
Mailing address:
  • Phone: 256-346-6166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CAUDLE
Title or Position: OFFICE MANAGER
Credential:
Phone: 256-849-0444