Provider Demographics
NPI:1689120719
Name:ALTERNATIVES BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ALTERNATIVES BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TENTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-233-5284
Mailing Address - Street 1:1345 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-1220
Mailing Address - Country:US
Mailing Address - Phone:910-233-5284
Mailing Address - Fax:910-939-1430
Practice Address - Street 1:313 WALNUT ST
Practice Address - Street 2:STE 109
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4067
Practice Address - Country:US
Practice Address - Phone:910-233-5284
Practice Address - Fax:910-939-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS8202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104676Medicaid