| Southeast Alabama Youth Services | |
|
2856 Horace Shepard Dr. Dothan AL 36303 | |
| (334) 983-8377 | |
| (334) 983-1289 |
| Full Name | Southeast Alabama Youth Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2856 Horace Shepard Dr., Dothan, Alabama |
| Authorized Official Name and Position | Tabitha S Brannon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3349838377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Alabama Youth Services 2856 Horace Shepard Dr. Dothan AL 36303 Ph: (334) 983-8377 | Southeast Alabama Youth Services 2856 Horace Shepard Dr. Dothan AL 36303 Ph: (334) 983-8377 |
| NPI Number | 1790575256 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790575256 | NPI | - | NPPES |
| 339100015 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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