Provider Demographics
NPI:1639762156
Name:ALK COUNSELING, LLC.
Entity Type:Organization
Organization Name:ALK COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:KINOR
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:419-279-3403
Mailing Address - Street 1:311 1/2 CONANT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3378
Mailing Address - Country:US
Mailing Address - Phone:419-279-3403
Mailing Address - Fax:
Practice Address - Street 1:311 1/2 CONANT ST STE 204
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3378
Practice Address - Country:US
Practice Address - Phone:419-279-3403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty