Provider Demographics
NPI:1477852317
Name:ALTERNATIVES IN HEALING, LLC
Entity Type:Organization
Organization Name:ALTERNATIVES IN HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LPCC
Authorized Official - Phone:612-414-7997
Mailing Address - Street 1:720 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-2067
Mailing Address - Country:US
Mailing Address - Phone:612-414-7997
Mailing Address - Fax:612-870-8944
Practice Address - Street 1:720 E 33RD ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2067
Practice Address - Country:US
Practice Address - Phone:612-414-7997
Practice Address - Fax:612-870-8944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1460478251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health