| Active Transitions Llc | |
|
1901 Richard Arrington Jr Blvd S Birmingham AL 35209-1270 | |
| (205) 835-9052 | |
| Not Available |
| Full Name | Active Transitions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 Richard Arrington Jr Blvd S, Birmingham, Alabama |
| Authorized Official Name and Position | Shannon Steele Crenshaw (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2058359052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Transitions Llc 8825 Parkway E Birmingham AL 35206-1504 Ph: (205) 835-9052 | Active Transitions Llc 1901 Richard Arrington Jr Blvd S Birmingham AL 35209-1270 Ph: (205) 835-9052 |
| NPI Number | 1831677087 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831677087 | NPI | - | NPPES |
| AL2945 | Other | AL | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AL2945 (Alabama) | Primary |
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