Provider Demographics
NPI:1356557425
Name:ALIVIANE, INC.
Entity type:Organization
Organization Name:ALIVIANE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SERVICES ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:915-782-4000
Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79949-1769
Mailing Address - Country:US
Mailing Address - Phone:915-782-4000
Mailing Address - Fax:915-778-3342
Practice Address - Street 1:1626 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5010
Practice Address - Country:US
Practice Address - Phone:915-782-4000
Practice Address - Fax:915-778-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 261QM1300X, 261QM2800X, 261QR0405X
TX402251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX402OtherTX DEPT OF STATE HEALTH SERVICES
TX125968105Medicaid
TX280817OtherCARF