Provider Demographics
NPI:1215186762
Name:ALISON PELZ
Entity Type:Organization
Organization Name:ALISON PELZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:K
Authorized Official - Last Name:PELZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-293-5770
Mailing Address - Street 1:10608 AMES LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1533
Mailing Address - Country:US
Mailing Address - Phone:512-293-5770
Mailing Address - Fax:
Practice Address - Street 1:604 W 9TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2212
Practice Address - Country:US
Practice Address - Phone:512-293-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX401981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty