Provider Demographics
NPI:1326172057
Name:ALPHA SERVICE INDUSTRIES, INC.
Entity Type:Organization
Organization Name:ALPHA SERVICE INDUSTRIES, INC.
Other - Org Name:ALPHA EMERGENCE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-333-8001
Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:STE 1050
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2624
Mailing Address - Country:US
Mailing Address - Phone:763-333-8001
Mailing Address - Fax:651-925-0267
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:STE 1050
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2624
Practice Address - Country:US
Practice Address - Phone:763-333-8001
Practice Address - Fax:651-925-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8465104OtherUBH
8465108OtherUBH
OG152ALOtherBLUE CROSS BLUE SHIELD
8465105OtherUBH
8G482ALOtherBLUE CROSS BLUE SHIELD
OG158ALOtherBLUE CROSS BLUE SHIELD
8465106OtherUBH
8565107OtherUBH
8465103OtherUBH