Provider Demographics
NPI:1073270682
Name:EALPSYD LLC
Entity Type:Organization
Organization Name:EALPSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-266-1175
Mailing Address - Street 1:5927 MCCOMB ST
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-3023
Mailing Address - Country:US
Mailing Address - Phone:757-266-1175
Mailing Address - Fax:434-293-4690
Practice Address - Street 1:100 E SOUTH ST STE 5
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5217
Practice Address - Country:US
Practice Address - Phone:757-266-1175
Practice Address - Fax:434-293-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty