Provider Demographics
NPI:1275994824
Name:ALTO BEHAVIORAL HEALTH SERVICES PLLC
Entity Type:Organization
Organization Name:ALTO BEHAVIORAL HEALTH SERVICES PLLC
Other - Org Name:ALTOTHS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:903-475-2602
Mailing Address - Street 1:510 E LOOP 281 STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-5076
Mailing Address - Country:US
Mailing Address - Phone:903-475-2602
Mailing Address - Fax:
Practice Address - Street 1:827 LANSING SWITCH RD
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75602-7102
Practice Address - Country:US
Practice Address - Phone:903-660-3053
Practice Address - Fax:844-429-8648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP110100363LF0000X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty