Provider Demographics
NPI:1891929204
Name:ALANIZ ACUPUNCTURE & THERAPY
Entity Type:Organization
Organization Name:ALANIZ ACUPUNCTURE & THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, DOM
Authorized Official - Phone:505-454-7694
Mailing Address - Street 1:1620 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4920
Mailing Address - Country:US
Mailing Address - Phone:505-454-7694
Mailing Address - Fax:505-454-0595
Practice Address - Street 1:1620 7TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4920
Practice Address - Country:US
Practice Address - Phone:505-454-7694
Practice Address - Fax:505-454-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMB7123Medicaid