Healthcare Provider Details

I. General information

NPI: 1932063484
Provider Name (Legal Business Name): ADRIANE PATTON MS, ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 CARMICHAEL CT N
MONTGOMERY AL
36106-3621
US

IV. Provider business mailing address

1057 DRUID HILLS DR
MONTGOMERY AL
36111-2619
US

V. Phone/Fax

Practice location:
  • Phone: 334-318-1134
  • Fax:
Mailing address:
  • Phone: 334-669-0504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05871
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: