Provider Demographics
NPI:1952950750
Name:ALCALDE THERAPY
Entity Type:Organization
Organization Name:ALCALDE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCALDE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:402-276-1745
Mailing Address - Street 1:2520 LONGVIEW ST STE 312
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-4235
Mailing Address - Country:US
Mailing Address - Phone:402-276-1745
Mailing Address - Fax:
Practice Address - Street 1:2520 LONGVIEW ST STE 312
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-4235
Practice Address - Country:US
Practice Address - Phone:402-276-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty