1033682927 NPI number — ALTERNATIVES, PSYCHOLOGICAL SERVICES, PLLC

Table of content: (NPI 1033682927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033682927 NPI number — ALTERNATIVES, PSYCHOLOGICAL SERVICES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
ALTERNATIVES, PSYCHOLOGICAL SERVICES, PLLC
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:
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Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1033682927
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 631422
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRVING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75063-0020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-888-1122
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
545 E JOHN CARPENTER FWY STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75062-3964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-888-1122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAMANIEGO ESTRADA
Authorized Official First Name:
KARINA
Authorized Official Middle Name:
BELEN
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
970-888-1122

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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