Provider Demographics
NPI:1336562693
Name:ALLIANCE PSYCHIATRY PA
Entity Type:Organization
Organization Name:ALLIANCE PSYCHIATRY PA
Other - Org Name:HOLISTIC MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-461-5696
Mailing Address - Street 1:2262 HAMLET CIR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6132
Mailing Address - Country:US
Mailing Address - Phone:512-562-9117
Mailing Address - Fax:512-872-2659
Practice Address - Street 1:4131 SPICEWOOD SPRINGS RD
Practice Address - Street 2:F-1
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8661
Practice Address - Country:US
Practice Address - Phone:512-562-9117
Practice Address - Fax:512-872-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL84992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty