Provider Demographics
NPI:1912341652
Name:THE ALLUVIUM THERAPY GROUP INC
Entity Type:Organization
Organization Name:THE ALLUVIUM THERAPY GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-248-5955
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039-0462
Mailing Address - Country:US
Mailing Address - Phone:781-280-1699
Mailing Address - Fax:
Practice Address - Street 1:22 UPPER MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-2083
Practice Address - Country:US
Practice Address - Phone:860-248-5955
Practice Address - Fax:860-364-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty