Organization
360CARE SERVICES OF AL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY L STEVENS (DIRECTOR OF REVENUE)
(502) 244-2441
Entity
Organization
Contact information
Practice address
150 S PERRY ST, MONTGOMERY, AL 36104-4227
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/21/2017
Last updated
10/29/2021
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