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SOUTHEAST OUTPATIENT ADDICTION RECOVERY
NPI 1275245292
Counselor - Mental Health in Dothan, AL

Active since December 21, 2022CLIA 01D2077338 · Waiver
321 WESTGATE PKWY STE 4, DOTHAN, AL 36303(334) 596-2486(334) 446-5139 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Outpatient Addiction Recovery NPPES

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

SOUTHEAST OUTPATIENT ADDICTION RECOVERY (NPI 1275245292), doing business as Soar, is a healthcare organization registered as a mental health in Dothan, Alabama and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Kimberly Ann Hart, Ceo/counselor, as its authorized official.

NPPES Registry Identity

NPI1275245292
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUTHEAST OUTPATIENT ADDICTION RECOVERY
Location Address321 WESTGATE PKWY STE 4Dothan, AL 36303-3072
Mailing Address321 Westgate Pkwy Ste 4Dothan, AL 36303-3072 · (334) 596-2486
Phone(334) 596-2486
Fax(334) 446-5139
Organization SubpartNo
Authorized OfficialKimberly Ann HartCeo/counselor · (334) 677-7627
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1275245292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
321 WESTGATE PKWY STE 4, Dothan, AL 36303
Open in Google Maps ↗

Other Names 1

Doing Business AsSoar

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2077338

Southeast Outpatient Addiction Recovery · Dothan, AL
Active · expires May 5, 2028
CLIA Number01D2077338
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorKimberly A. Hart
Laboratory Phone(334) 677-7627
Laboratory LocationSoutheast Outpatient Addiction Recovery321 Westgate Parkway Suite 4, Dothan, AL 36303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. KIMBERLY ANN HART LPC
Counselor (Professional)
321 WESTGATE PKWY STE 4
DOTHAN, AL 36303
Houston County (334) 677-7627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Outpatient Addiction Recovery's NPI number?

The NPI number for Southeast Outpatient Addiction Recovery is 1275245292. It was assigned to this organization in the NPPES registry on December 21, 2022. The provider is doing business as Soar.

Where is Southeast Outpatient Addiction Recovery located?

Southeast Outpatient Addiction Recovery is located at 321 Westgate Pkwy Ste 4, Dothan, AL 36303. The listed phone number is (334) 596-2486.

What is Southeast Outpatient Addiction Recovery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Southeast Outpatient Addiction Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2077338) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Outpatient Addiction Recovery was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.