Healthcare Provider Details

I. General information

NPI: 1982113312
Provider Name (Legal Business Name): THE TREATMENT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 N JACKSON HWY
SHEFFIELD AL
35660
US

IV. Provider business mailing address

5001 SPRING VALLEY RD STE 600E
DALLAS TX
75244-8217
US

V. Phone/Fax

Practice location:
  • Phone: 256-383-6646
  • Fax:
Mailing address:
  • Phone: 214-365-6100
  • Fax: 214-365-6150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number2310
License Number StateAL

VIII. Authorized Official

Name: JEMECE MICHELLE GASAWAY
Title or Position: DIRECTOR OF LICENSING
Credential:
Phone: 214-365-6126