Provider Demographics
NPI:1568546844
Name:ALPHA COUNSELLORS SERVICE, INC.
Entity Type:Organization
Organization Name:ALPHA COUNSELLORS SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:DIAN
Authorized Official - Last Name:SENIOR-WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CSOTP
Authorized Official - Phone:757-262-2094
Mailing Address - Street 1:2238 TODDS LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3159
Mailing Address - Country:US
Mailing Address - Phone:757-262-2094
Mailing Address - Fax:
Practice Address - Street 1:2238 TODDS LN
Practice Address - Street 2:SUITE D
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3159
Practice Address - Country:US
Practice Address - Phone:757-262-2094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty