Provider Demographics
NPI:1265974190
Name:ALLIED THERAPEUTICS LLC
Entity type:Organization
Organization Name:ALLIED THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALLER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-810-1245
Mailing Address - Street 1:PO BOX 2103
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29484-2103
Mailing Address - Country:US
Mailing Address - Phone:843-873-6935
Mailing Address - Fax:843-873-3568
Practice Address - Street 1:145 W CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-4354
Practice Address - Country:US
Practice Address - Phone:843-873-6935
Practice Address - Fax:843-873-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty