Provider Demographics
NPI:1548805088
Name:CENTERED LLC
Entity type:Organization
Organization Name:CENTERED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:LALLEH
Authorized Official - Middle Name:FATIMEH-ADHAMI
Authorized Official - Last Name:VIGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-203-6684
Mailing Address - Street 1:8331 MADISON BLVD STE 100-F
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2070
Mailing Address - Country:US
Mailing Address - Phone:256-203-6684
Mailing Address - Fax:256-678-9650
Practice Address - Street 1:8331 MADISON BLVD STE 100-F
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2070
Practice Address - Country:US
Practice Address - Phone:256-203-6684
Practice Address - Fax:256-678-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health