THERAPEUTIC ALLIANCE GROUP INC. NPI 1407020928

NPI Information

NPI: 1407020928
Provider Name: THERAPEUTIC ALLIANCE GROUP, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4432 NW 23RD AVE STE 4
GAINESVILLE, FL
ZIP 32606
Phone: (352) 379-4665
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THERAPEUTIC ALLIANCE GROUP, INC. is a mental health counselor in Gainesville, FL. THERAPEUTIC ALLIANCE GROUP, INC. NPI is 1407020928. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4432 NW 23RD AVE STE 4
GAINESVILLE, FL
ZIP 32606-560
Phone: (352) 379-4665
Fax: (352) 377-0002

The provider's authorized official is Heather Shannon Damron .
The authorized official title is Director and has the following contact phone number (352) 379-4665.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		MH6211	FLORIDA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH6211	FLORIDA	No
3	101YP2500X	Counselor	Professional	MH6211	FLORIDA	No
4	101YM0800X	Counselor	Mental Health	MH6211	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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