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SOUTHEAST ALABAMA YOUTH SERVICES, INC
NPI 1710084876
Residential Treatment Facility, Emotionally Disturbed Children in Dothan, AL

Active since September 20, 2006
2856 HORACE SHEPARD DR, DOTHAN, AL 36303(334) 983-8377(334) 983-1289 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Alabama Youth Services, Inc NPPES

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

SOUTHEAST ALABAMA YOUTH SERVICES, INC (NPI 1710084876) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Dothan, Alabama and active in the NPI registry since September 2006. The organization lists Gerald H Love, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710084876
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTHEAST ALABAMA YOUTH SERVICES, INC
Location Address2856 HORACE SHEPARD DRDothan, AL 36303-1007
Mailing Address2856 Horace Shepard DrDothan, AL 36303-1007 · (334) 983-8377 · Fax (334) 983-1289
Phone(334) 983-8377
Fax(334) 983-1289
Organization SubpartNo
Authorized OfficialGerald H LoveExecutive Director · (334) 983-8377
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710084876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2856 HORACE SHEPARD DR, Dothan, AL 36303
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Other Providers at the Same Location NPPES 3

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

TABITHA BRANNON LPC
Counselor (Professional)
2856 HORACE SHEPARD DR
DOTHAN, AL 36303
Houston County (334) 983-8377
TAMMI HOLMAN LPC
Counselor (Professional)
2856 HORACE SHEPARD DR
DOTHAN, AL 36303
Houston County (334) 983-8377
MR. DANIEL H CHURCHFIELD LPC
Counselor (Professional)
2856 HORACE SHEPARD DR
DOTHAN, AL 36303
Houston County (334) 983-8377

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 Alabama Youth Services, Inc's NPI number?

The NPI number for Southeast Alabama Youth Services, Inc is 1710084876. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Southeast Alabama Youth Services, Inc located?

Southeast Alabama Youth Services, Inc is located at 2856 Horace Shepard Dr, Dothan, AL 36303. The listed phone number is (334) 983-8377.

What is Southeast Alabama Youth Services, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Southeast Alabama Youth Services, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.