Provider Demographics
NPI:1497779532
Name:ALTERNATIVES COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:ALTERNATIVES COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MEGINLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:423-624-8535
Mailing Address - Street 1:2002 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2634
Mailing Address - Country:US
Mailing Address - Phone:423-624-8535
Mailing Address - Fax:423-624-8608
Practice Address - Street 1:2002 OAK ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2634
Practice Address - Country:US
Practice Address - Phone:423-624-8535
Practice Address - Fax:423-624-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC00001556251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0126155OtherBLUE CROSS BLUE SHIELD
TN3685432Medicare ID - Type Unspecified