Healthcare Provider Details

I. General information

NPI: 1154255537
Provider Name (Legal Business Name): TALLADEGA BEHAVIORAL HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 BATTLE ST E
TALLADEGA AL
35160-2420
US

IV. Provider business mailing address

212 BATTLE ST E
TALLADEGA AL
35160-2420
US

V. Phone/Fax

Practice location:
  • Phone: 256-499-2039
  • Fax:
Mailing address:
  • Phone: 256-499-2039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CHERYL MAYRINA GARRETT
Title or Position: THERAPIST/OWNER
Credential: ALC
Phone: 256-499-2039