Provider Demographics
NPI:1568754513
Name:ALTERNATIVE COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:ALTERNATIVE COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-386-7966
Mailing Address - Street 1:403 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-1843
Mailing Address - Country:US
Mailing Address - Phone:812-386-7966
Mailing Address - Fax:812-386-7875
Practice Address - Street 1:403 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-1843
Practice Address - Country:US
Practice Address - Phone:812-386-7966
Practice Address - Fax:812-386-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty