Provider Demographics
NPI:1891033577
Name:ALBA WELLNESS INCORPORATED
Entity Type:Organization
Organization Name:ALBA WELLNESS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-827-5513
Mailing Address - Street 1:188 WOODCREEK DR
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-9534
Mailing Address - Country:US
Mailing Address - Phone:210-827-5513
Mailing Address - Fax:
Practice Address - Street 1:433 KITTY HAWK RD
Practice Address - Street 2:SUITE 219
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3357
Practice Address - Country:US
Practice Address - Phone:210-827-5513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty