Organization
IMPACT BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINE M MAYS-EASLEY M.A. (THERAPSIT)
(334) 797-2718
Entity
Organization
Contact information
Practice address
256 HONEYSUCKLE RD., DOTHAN, AL 36305-1168
(334) 797-2718
Mailing address
256 HONEYSUCKLE RD STE 10, DOTHAN, AL 36305-1168
(334) 797-2718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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