ALAN E MORTIMORE - NPI 1255796835 - Counselor in Atlantic, IA

Q: What is Alan Mortimore's NPI number?

The NPI number for Alan Mortimore is 1255796835. It was assigned to this individual provider in the NPPES registry on December 23, 2015.

Q: What is Alan Mortimore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Alan Mortimore was last updated on December 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alan E Mortimore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAN E MORTIMORE (NPI 1255796835) is an individual addiction (substance use disorder) provider in Atlantic, Iowa, licensed in Iowa (15113) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1255796835

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameALAN E MORTIMORE

Location Address1500 E 10TH STAtlantic, IA 50022-1935

Mailing Address1500 E 10th StAtlantic, IA 50022-1935 · (712) 243-5091 · Fax (712) 243-1337

Phone(712) 243-5091

Fax(712) 243-1337

Sole ProprietorNo

Enumeration DateDecember 23, 2015

✔ NPI 1255796835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IA · 15113

1500 E 10TH ST, Atlantic, IA 50022

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Other Identifiers 2

Other68236IA · Wellmark

Medicaid0177394IA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAWNA L RUTHERFORD TCADC

Counselor (Addiction (Substance Use Disorder))