Healthcare Provider Details

I. General information

NPI: 1720338361
Provider Name (Legal Business Name): ALABAMA BEHAVIORAL HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 CARMICHAEL WAY
MONTGOMERY AL
36106-3671
US

IV. Provider business mailing address

2257 TAYLOR RD SUITE 200
MONTGOMERY AL
36117-7790
US

V. Phone/Fax

Practice location:
  • Phone: 334-277-1099
  • Fax:
Mailing address:
  • Phone: 334-386-9357
  • Fax: 334-532-0137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DUDLEY J TERRELL
Title or Position: PHD/OWNER
Credential: PHD
Phone: 334-277-1099