Provider Demographics
NPI:1639116189
Name:THE EDUCATIONAL ALLIANCE, INC
Entity Type:Organization
Organization Name:THE EDUCATIONAL ALLIANCE, INC
Other - Org Name:THE EDUCATIONAL ALLIANCE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:646-395-4060
Mailing Address - Street 1:197 EAST BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5507
Mailing Address - Country:US
Mailing Address - Phone:646-395-4260
Mailing Address - Fax:646-260-7516
Practice Address - Street 1:197 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5507
Practice Address - Country:US
Practice Address - Phone:646-395-4260
Practice Address - Fax:646-260-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY471645OtherVALUEOPTIONS
NY00245221Medicaid
NY471645OtherVALUEOPTIONS
NY00245221Medicaid