Provider Demographics
NPI:1750046603
Name:ALLIANCE THERAPY CENTER LLC
Entity Type:Organization
Organization Name:ALLIANCE THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-335-1427
Mailing Address - Street 1:6507 WILKINS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1305
Mailing Address - Country:US
Mailing Address - Phone:412-212-8805
Mailing Address - Fax:412-223-4353
Practice Address - Street 1:6507 WILKINS AVE STE 103
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1305
Practice Address - Country:US
Practice Address - Phone:412-212-8805
Practice Address - Fax:412-223-4353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty