Provider Demographics
NPI:1356369250
Name:EAP ALLIANCE, INC.
Entity type:Organization
Organization Name:EAP ALLIANCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LEAP, CEAP
Authorized Official - Phone:800-968-8143
Mailing Address - Street 1:2700 MIDDLEBURG DR STE 208
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2479
Mailing Address - Country:US
Mailing Address - Phone:800-968-8143
Mailing Address - Fax:803-799-3772
Practice Address - Street 1:2700 MIDDLEBURG DR STE 208
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2479
Practice Address - Country:US
Practice Address - Phone:800-968-8143
Practice Address - Fax:803-799-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management