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SOUTHEAST ALABAMA YOUTH SERVICES
NPI 1790575256
Counselor - Professional in Dothan, AL

Active since May 08, 2025
2856 HORACE SHEPARD DR., DOTHAN, AL 36303(334) 983-8377(334) 983-1289 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Alabama Youth Services NPPES

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

SOUTHEAST ALABAMA YOUTH SERVICES (NPI 1790575256) is a healthcare organization registered as a professional in Dothan, Alabama and active in the NPI registry since May 2025. The organization lists Tabitha S Brannon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790575256
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHEAST ALABAMA YOUTH SERVICES
Location Address2856 HORACE SHEPARD DR.Dothan, AL 36303
Mailing Address2856 Horace Shepard Dr.Dothan, AL 36303 · (334) 983-8377 · Fax (334) 983-1289
Phone(334) 983-8377
Fax(334) 983-1289
Organization SubpartYes
Authorized OfficialTabitha S BrannonExecutive Director · (334) 983-8377
Enumeration DateMay 8, 2025
✔ NPI 1790575256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2856 HORACE SHEPARD DR., Dothan, AL 36303
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Other Names 1

Other NamePsb Outpatient Services

Other Identifiers 1

Medicaid339100015AL

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's NPI number?

The NPI number for Southeast Alabama Youth Services is 1790575256. It was assigned to this organization in the NPPES registry on May 8, 2025. The provider is also known as PSB Outpatient Services.

Where is Southeast Alabama Youth Services located?

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

What is Southeast Alabama Youth Services'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 was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.