Basic Information
| Provider Information | |||||||||
| NPI: | 1538540091 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALTERNATIVES COUNSELING SERVICES, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ALTERNATIVES COUNSELING CENTER, LLC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. 14888 | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871914888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052500540 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1990 E LOHMAN AVE | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | LAS CRUSES | ||||||||
| State: | NM | ||||||||
| PostalCode: | 880013172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9154221968 | ||||||||
| FaxNumber: | 5052120332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2015 | ||||||||
| LastUpdateDate: | 06/30/2021 | ||||||||
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| AuthorizedOfficialLastName: | ATENCIO | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALING/CONTRACTING ADMINISTR | ||||||||
| AuthorizedOfficialTelephone: | 5052500540 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 06/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.