1427405406 NPI number — LITTON & YARBROUGH THERAPEUTIC SERVICES LLC

Table of content: MISS MONIKA KATHERINE MARKS OTR (NPI 1669693107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427405406 NPI number — LITTON & YARBROUGH THERAPEUTIC SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LITTON & YARBROUGH THERAPEUTIC SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427405406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4260 CAHABA HEIGHTS CT STE 182
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VESTAVIA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35243-5711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-259-1744
Provider Business Mailing Address Fax Number:
205-329-7806

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4260 CAHABA HEIGHTS CT STE 182
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VESTAVIA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35243-5711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-259-1744
Provider Business Practice Location Address Fax Number:
205-329-7806
Provider Enumeration Date:
05/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
YARBROUGH
Authorized Official First Name:
KRISTI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PROVIDER
Authorized Official Telephone Number:
205-259-1744

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1343 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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