Provider Demographics
NPI:1912638396
Name:ALICIA ALLEN CONSULTING LLC
Entity Type:Organization
Organization Name:ALICIA ALLEN CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HART
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-340-9039
Mailing Address - Street 1:10681 AIRPORT PULLING RD N STE 24
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7332
Mailing Address - Country:US
Mailing Address - Phone:239-600-0577
Mailing Address - Fax:800-813-9164
Practice Address - Street 1:10681 AIRPORT PULLING RD N STE 24
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7332
Practice Address - Country:US
Practice Address - Phone:239-600-0577
Practice Address - Fax:800-813-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty