Alternative Therapy LLC
Organization Active NPI Professional Counselor · Hamden, CT
NPI 1104120468 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1104120468
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ALTERNATIVE THERAPY LLC
- Practice address
- 2911 Dixwell Ave Ste 301
Suite 9
Hamden, CT 06518-3130 - Phone
- (203) 281-0300
- NPI assigned
- Dec 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Raul A Avila, MPA,CAGS, NCC, LPC
- Title
- Director
- Phone
- (203) 281-0300
Practitioners 7
-
Raul A Avila, LPC
-
Selena Hammie, LPCA
-
Rodrigo Sampaio Martins, LCSW
-
Claudine Sapini, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240904000045 | CT | Part B Supplier - Clinic/Group Practice | 4385188630 |
Receives reassigned benefits from 4 practitioners Practice locations: Hamden, CT |
National Provider Directory
Locations
2911 Dixwell Ave
Ste 301
Hamden, CT 06518
Phone (203) 281-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Professional Counselor |
101YP2500X | Yes | ||
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
2911 Dixwell Ave Ste 301
Suite 9
Hamden, CT 06518-3130
Mailing address
2911 Dixwell Ave Ste 301
Suite 9
Hamden, CT 06518-3130
Phone (203) 281-0300
Other names
- Alternative Therapy, LLC
Other providers in Hamden, CT
- Aligned Wellness LLC
- Kailea Allen
- Sandra L Allison
- April Almeida
- Paul Burton Alpert
- Mark Phillips Altman
- Always Chosen Care
- Francesca Marie Amici
- Jessyca Lyn Ammerman
- Angela Frances Amoroso
All providers in Hamden, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.