Provider Demographics
NPI:1265684591
Name:ALCALA COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ALCALA COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCALA
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:785-783-7691
Mailing Address - Street 1:1243 SW TOPEKA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66612-1907
Mailing Address - Country:US
Mailing Address - Phone:785-783-7691
Mailing Address - Fax:785-783-7692
Practice Address - Street 1:1243 SW TOPEKA BLVD STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66612-1907
Practice Address - Country:US
Practice Address - Phone:785-783-7691
Practice Address - Fax:785-783-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS06950879324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility