Provider Demographics
NPI:1710754999
Name:ALLIANCE 2 BENEFIT CHILDREN, LLC
Entity Type:Organization
Organization Name:ALLIANCE 2 BENEFIT CHILDREN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-798-1341
Mailing Address - Street 1:201 ROCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HEADLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36345-9275
Mailing Address - Country:US
Mailing Address - Phone:334-798-1341
Mailing Address - Fax:
Practice Address - Street 1:201 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:HEADLAND
Practice Address - State:AL
Practice Address - Zip Code:36345-9275
Practice Address - Country:US
Practice Address - Phone:334-212-8690
Practice Address - Fax:334-785-5286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty