NPI 1720464498

Cleveland Behavioral Therapy LLC

Organisation Exclusive Provider Organization Madison, AL

Practice location

Address: 9238 Madison Blvd, Madison, AL 35758-9100
Phone: (256) 603-1381
Mailing address: 11019 Dove Dr, Madison, AL 35756-4301

Authorised official

Name: Jessica Dawn Cleveland
Title: Licensed Counselor
Phone: (256) 603-1381

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2919 (AL)

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Registry record

NPI: 1720464498
Entity type: Organization
NPI issued: 5 Aug 2015
Record last updated: 5 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.