Healthcare Provider Details

I. General information

NPI: 1649325788
Provider Name (Legal Business Name): COMMUNITY SERVICE PROGRAMS OF WEST ALABAMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MCFARLAND BLVD E SUITE 209
TUSCALOOSA AL
35404-5805
US

IV. Provider business mailing address

601 17TH ST
TUSCALOOSA AL
35401-4807
US

V. Phone/Fax

Practice location:
  • Phone: 205-752-0476
  • Fax: 205-752-8122
Mailing address:
  • Phone: 205-752-5429
  • Fax: 205-752-8653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPTH2409
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0207
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2078
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number453
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA BURTON
Title or Position: DIRECTOR
Credential:
Phone: 205-752-5429