Provider Demographics
NPI:1073121828
Name:ALVARADO COUNSELING, LLC
Entity Type:Organization
Organization Name:ALVARADO COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:512-771-4553
Mailing Address - Street 1:117 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2023
Mailing Address - Country:US
Mailing Address - Phone:512-771-4553
Mailing Address - Fax:
Practice Address - Street 1:117 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-2023
Practice Address - Country:US
Practice Address - Phone:512-771-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health