=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598310583
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTIE CAVES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2019
-----------------------------------------------------
Last Update Date | 04/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2112 11TH AVE S STE 201
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35205-2844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-945-7483
-----------------------------------------------------
Fax | 205-945-7083
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10100 ELIDA RD
-----------------------------------------------------
City | DELPHOS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45833-9058
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-695-8010
-----------------------------------------------------
Fax | 419-932-6232
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------