Healthcare Provider Details

I. General information

NPI: 1689726515
Provider Name (Legal Business Name): ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N UNION ST
MONTGOMERY AL
36130-0001
US

IV. Provider business mailing address

100 N UNION ST
MONTGOMERY AL
36130-0001
US

V. Phone/Fax

Practice location:
  • Phone: 334-242-3107
  • Fax:
Mailing address:
  • Phone: 334-242-3107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN M HOUSTON
Title or Position: COMMISSIONER
Credential:
Phone: 334-242-3107