Healthcare Provider Details

I. General information

NPI: 1891249041
Provider Name (Legal Business Name): ALFRED I DUPONT MIDDLE SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CHEVETT ST
KINSEY AL
36303-7748
US

IV. Provider business mailing address

201 CHEVETT ST
KINSEY AL
36303-7748
US

V. Phone/Fax

Practice location:
  • Phone: 334-479-3398
  • Fax:
Mailing address:
  • Phone: 334-479-3398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MS. JAMIE D WILLIAMS
Title or Position: MOTIVATION COACH
Credential:
Phone: 334-479-3398