Provider Demographics
NPI:1629790084
Name:ALCHEMY THERAPY, COACHING, AND CONSULTING LLC
Entity Type:Organization
Organization Name:ALCHEMY THERAPY, COACHING, AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:802-535-7485
Mailing Address - Street 1:205 E RAPP RD
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-8701
Mailing Address - Country:US
Mailing Address - Phone:802-535-7485
Mailing Address - Fax:
Practice Address - Street 1:295 E MAIN ST STE 9
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1827
Practice Address - Country:US
Practice Address - Phone:802-535-7485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)