Southeast Alabama Youth Services

NPI #1790575256 in Dothan, Alabama

Provider Information

NPI Number
1790575256
Entity Type
Organization
Organization Name
Southeast Alabama Youth Services
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST ALABAMA YOUTH SERVICES
Primary Specialty
Counselor - Professional
Enumeration Date
May 8, 2025
Last Updated
May 8, 2025

Practice Location

Address
2856 HORACE SHEPARD DR.
City
Dothan
State
Alabama
ZIP Code
36303
Phone
(334) 983-8377

Authorized Official

Name
MRS. TABITHA S BRANNON, LPC-S
Title
EXECUTIVE DIRECTOR
Phone
(334) 983-8377

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Counselor - ProfessionalProfessional

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