1. Home
  2. Directory
  3. Alabama
  4. Montgomery
  5. Clinic Center
  6. NPI Profile

TABIA KEONNA WOOLFORK RECREATIONAL MENTAL HEALTH FITNESS FACILITY
NPI 1639805500
Clinic/Center - Mental Health (Including Community Mental Health Center) in Montgomery, AL

Active since July 25, 2022
853 S COURT ST, MONTGOMERY, AL 36104(334) 647-1880 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabia Keonna Woolfork Recreational Mental Health Fitness Facility NPPES

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

TABIA KEONNA WOOLFORK RECREATIONAL MENTAL HEALTH FITNESS FACILITY (NPI 1639805500) is a healthcare organization registered as a mental health (including community mental health center) in Montgomery, Alabama and active in the NPI registry since July 2022. The organization lists Peggie Lee Hatten, Founder, as its authorized official.

NPPES Registry Identity

NPI1639805500
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTABIA KEONNA WOOLFORK RECREATIONAL MENTAL HEALTH FITNESS FACILITY
Location Address853 S COURT STMontgomery, AL 36104-4905
Mailing Address6021 Portsmouth CtMontgomery, AL 36116-7103 · (334) 538-5529
Phone(334) 647-1880
Organization SubpartNo
Authorized OfficialPeggie Lee HattenFounder · (334) 647-1880
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1639805500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
853 S COURT ST, Montgomery, AL 36104
Open in Google Maps ↗

Other Names 1

Former Legal Business NameTabia Keonna Woolfork Recreational Mental Health Fitness Facility

Other Providers at the Same Location NPPES

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

PEGGIE LEE HATTEN BA, MD, SAC,
Counselor (Addiction (Substance Use Disorder))
853 S COURT ST
MONTGOMERY, AL 36104
Montgomery County (334) 647-1880

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 Tabia Keonna Woolfork Recreational Mental Health Fitness Facility's NPI number?

The NPI number for Tabia Keonna Woolfork Recreational Mental Health Fitness Facility is 1639805500. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Tabia Keonna Woolfork Recreational Mental Health Fitness Facility located?

Tabia Keonna Woolfork Recreational Mental Health Fitness Facility is located at 853 S Court St, Montgomery, AL 36104. The listed phone number is (334) 647-1880.

What is Tabia Keonna Woolfork Recreational Mental Health Fitness Facility's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Tabia Keonna Woolfork Recreational Mental Health Fitness Facility was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.