Mitchell'S Place - South Side

LBN: Mitchell'S Place, Inc.
Mitchell'S Place - South Side is an health care organization with primary practice located at 4778 Overton Road , Birmingham AL 35210. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Mitchell'S Place, Inc. can be contacted via phone (205) 957-0294, or through Fitzgerald, Darrell W via phone (205) 957-0294.

Contact Information

Primary practice address
4778 Overton Road Birmingham AL 35210
Fax: (205) 957-0298
Website:
Authorized official contact:
Name: Fitzgerald, Darrell W CPAR

Profile Details

NPI number 1235263419
LBN Legal business name Mitchell'S Place, Inc.
DBA Doing business as Mitchell'S Place - South Side
Authorized official Fitzgerald, Darrell W CPAR
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated May 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235263419 NPPES
Alabama MEDICAID 247019

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