INTELLECTUALSOUL CLINICAL CONSULTING, LLC - NPI 1912559675 - Community/Behavioral Health in Montgomery, AL

Q: What is Intellectualsoul Clinical Consulting, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Intellectualsoul Clinical Consulting, Llc NPPES

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

INTELLECTUALSOUL CLINICAL CONSULTING, LLC (NPI 1912559675) is a healthcare organization registered as a community/behavioral health in Montgomery, Alabama and active in the NPI registry since July 2019. The organization lists Stephan Idris Mambazo, Owner/primary Provider, as its authorized official.

NPPES Registry Identity

NPI1912559675

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINTELLECTUALSOUL CLINICAL CONSULTING, LLC

Location Address2541 COLLEGE STMontgomery, AL 36106-2124

Mailing Address2541 College StMontgomery, AL 36106-2124 · (334) 207-7657 · Fax (334) 323-6747

Phone(334) 207-7657

Fax(334) 323-6747

Organization SubpartNo

Authorized OfficialStephan Idris MambazoOwner/primary Provider · (334) 625-9617

Enumeration DateJuly 12, 2019

Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1912559675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2541 COLLEGE ST, Montgomery, AL 36106

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Other Providers at the Same Location NPPES 2

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

STEPHAN IDRIS MAMBAZO MSW, LICSW-PIP, CGRS

Social Worker (Clinical)

2541 COLLEGE ST
MONTGOMERY, AL 36106

Montgomery County (334) 207-7657

MS. TIFFANY CAMILLA ELLIOTT LMFT

Marriage & Family Therapist

2541 COLLEGE ST
MONTGOMERY, AL 36106

Montgomery County (205) 585-4160

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 Intellectualsoul Clinical Consulting, LLC's NPI number?

The NPI number for Intellectualsoul Clinical Consulting, LLC is 1912559675. It was assigned to this organization in the NPPES registry on July 12, 2019.

Where is Intellectualsoul Clinical Consulting, LLC located?

Intellectualsoul Clinical Consulting, LLC is located at 2541 College St, Montgomery, AL 36106. The listed phone number is (334) 207-7657.

What is Intellectualsoul Clinical Consulting, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Intellectualsoul Clinical Consulting, LLC was last updated on March 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.