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General NPI Number Information
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NPI Number | 1861722639
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Entity Type | Organization
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Legal Business Name | SOUTHWEST FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 4080 GOVERNMENT BLVD SUITE A
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City | MOBILE
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State | AL
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Zip | 36693-4728
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Country | US
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Telephone | 251-661-6428
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Fax | 251-661-6426
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Provider Business Mailing Address
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Address Line | 4080 GOVERNMENT BLVD SUITEA
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City | MOBILE
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State | AL
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Zip | 36693-4728
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Country | US
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Telephone | 251-661-6428
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Fax | 251-661-6426
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | VELMA THOMAS
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Credential |
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Telephone | 251-661-6428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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