=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376487207
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALDERMAN ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2026
-----------------------------------------------------
Last Update Date | 04/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 405 WOODROW WILSON DR
-----------------------------------------------------
City | VALDOSTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31602-2628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-560-8048
-----------------------------------------------------
Fax | 888-228-8023
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9319 GA HIGHWAY 135
-----------------------------------------------------
City | NAYLOR
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31641-2007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-560-8048
-----------------------------------------------------
Fax | 888-228-8023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. CLARISSA ALDERMAN
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 229-560-8048
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------