Provider Demographics
NPI:1710636121
Name:ALVA SERVICES L.L.C.
Entity Type:Organization
Organization Name:ALVA SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LICENSED THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ESTUARDO
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-303-4373
Mailing Address - Street 1:1300 FURNACE RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21090-1009
Mailing Address - Country:US
Mailing Address - Phone:443-303-4373
Mailing Address - Fax:
Practice Address - Street 1:1300 FURNACE RD
Practice Address - Street 2:
Practice Address - City:LINTHICUM HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:21090-1009
Practice Address - Country:US
Practice Address - Phone:443-303-4373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty