Timothy D Deloach, LPC-S
Counselor, Professional in Fairhope, AL. Individual provider (NPI-1).
Details
- NPI
- 1689019366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy D Deloach
- Credential
- LPC-S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2013
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2224 | AL | Yes |
| 101YM0800X | Counselor, Mental Health | LPC02224 | AL |
Practice location
22765 Us Highway 98Fairhope, AL 36532-3499
Phone 251-473-3410 · Fax 251-476-4454
Mailing address
1340 Sledge Dr Ste BMobile, AL 36606-3000
Phone 251-473-3410 · Fax 251-476-4454
Other practice locations
Mobile, AL 36606-3000
Phone 251-473-3410 · Fax 251-476-4454
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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