MEDICARE: ADDICTION & MENTAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1639227085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADDICTION & MENTAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1 PERIMETER PARK S STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2327
Country	:	US
Telephone Number	:	205-251-7753
Fax Number	:	205-251-7760

Provider Business Practice Location Address
First Line	:	386 SAINT LUKES DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-7108
Country	:	US
Telephone Number	:	334-244-0702
Fax Number	:	334-277-2786

Authorized Official
Title or Position	:	CFO
Name	:	MARK EDWARDS
Credential	:
Telephone Number	:	205-244-8112

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	02/23/2026

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