KOLBE CLINIC B, LLC NPI 1396330809

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Chelsea, AL

NPI 1396330809 Organization Clinic/Center Mental Health (Including Community Menta...

About KOLBE CLINIC B, LLC

Kolbe Clinic B, Llc is a provider established in Chelsea, Alabama specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Kolbe Clinic B, Llc is 1396330809 and was assigned on March 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Kolbe Clinic B, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. William Carl Wainscott Ii (Ceo)

NPI

1396330809

Provider NameKOLBE CLINIC B, LLC
Provider Location Address109 FOOTHILLS PKWY STE 113 CHELSEA, AL 35043
Provider Mailing Address1830 MONTCLAIR RD STE A IRONDALE, AL 35210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-05-2021
Last Update Date03-05-2021


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

KOLBE CLINIC B, LLC
109 FOOTHILLS PKWY STE 113
CHELSEA, AL
ZIP 35043
Phone: (205) 618-9899
Fax: (205) 618-9706

Get Directions


Mailing Address

KOLBE CLINIC B, LLC
1830 MONTCLAIR RD STE A
IRONDALE, AL
ZIP 35210
Phone: (205) 775-0300
Fax: (205) 618-9706



Secondary Locations

1810 3rd Ave S
Jasper, AL 35501
(205) 512-1015
80 Herren Hill Rd Ste C
Tallassee, AL 36078
(334) 640-0300
13280 County Road 51
Collinsville, AL 35961
(888) 310-9011
915 22nd Ave
Tuscaloosa, AL 35401
(205) 764-1358
1830 Montclair Rd Ste A
Irondale, AL 35210
(205) 775-0300

Authorized Official

Authorized Official NameMR. WILLIAM CARL WAINSCOTT II
Authorized Official TitleCEO
Authorized Official Phone(205) 775-0300

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)No

Taxonomy Description: Not Available

2207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineNo

Taxonomy Description: a family medicine physician who specializes in the diagnosis and treatment of addictions.

3207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyNo

Taxonomy Description: an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

42084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineNo

Taxonomy Description: a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235748484 CALIEGH ALEVY
Individual
Social Worker109 FOOTHILLS PKWY STE 113
CHELSEA, AL 35043
(205) 618-9899
1528678471 DEIDRE HOUSTON
Individual
Social Worker109 FOOTHILLS PKWY STE 113
CHELSEA, AL 35043
(205) 618-9899

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.