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SOUTHEAST ALABAMA YOUTH SERVICES, INC
NPI 1760100804
Counselor - Professional in Louisville, AL

Active since August 15, 2022
76 VICTORIA ST, LOUISVILLE, AL 36048(334) 714-2549 Get Directions Write a Review

NPPES record last updated: August 15, 2022. 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 1760100804) is a healthcare organization registered as a professional in Louisville, Alabama and active in the NPI registry since August 2022. The organization lists Samantha Danielle Gordon, Program Director, as its authorized official.

NPPES Registry Identity

NPI1760100804
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHEAST ALABAMA YOUTH SERVICES, INC
Location Address76 VICTORIA STLouisville, AL 36048-3525
Mailing Address2856 Horace Shepard DrDothan, AL 36303-1007 · (334) 714-2549 · Fax (334) 983-1289
Phone(334) 714-2549
Organization SubpartNo
Authorized OfficialSamantha Danielle GordonProgram Director · (334) 983-8377
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1760100804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
76 VICTORIA ST, Louisville, AL 36048
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

QUEST COUNSELING AGENCY, LLC
Counselor (Mental Health)
76 VICTORIA ST
LOUISVILLE, AL 36048
Barbour County (801) 388-1650

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 1760100804. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Southeast Alabama Youth Services, Inc located?

Southeast Alabama Youth Services, Inc is located at 76 Victoria St, Louisville, AL 36048. The listed phone number is (334) 714-2549.

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

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Southeast Alabama Youth Services, Inc was last updated on August 15, 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.