Provider Demographics
NPI:1942359807
Name:ALESEK INSTITUTE
Entity Type:Organization
Organization Name:ALESEK INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAID ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:REICHERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:206-335-6482
Mailing Address - Street 1:5919 N LEVEE RD
Mailing Address - Street 2:
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-2321
Mailing Address - Country:US
Mailing Address - Phone:253-922-5269
Mailing Address - Fax:253-922-0910
Practice Address - Street 1:5919 N LEVEE RD
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-2321
Practice Address - Country:US
Practice Address - Phone:253-922-5269
Practice Address - Fax:253-922-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1981117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1981117Medicaid