Alliance Behavioral Health Inc. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALLIANCE BEHAVIORAL HEALTH INC. LLC

Practice address

1961 Bobtail LN
Marysville, OH 43040-7020

Phone

(937) 738-7350

Fax

(804) 918-3062

NPI assigned

Feb 2, 2020

Last updated

Feb 2, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latonya Kelly, B.S

Title

Co-Owner

Phone

(937) 738-7350

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: nfo@alliancebehavioralhealthinc.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580601600000",
    "number": "1104457720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 BOBTAIL LN",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407020",
            "telephone_number": "937-738-7350",
            "fax_number": "804-918-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 BOBTAIL LN",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407020",
            "telephone_number": "937-738-7350",
            "fax_number": "804-918-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL HEALTH INC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "937-738-7350",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfo@alliancebehavioralhealthinc.com",
            "affiliation": "N",
            "endpointDescription": "COMPANY DIRECTED EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "1961 Bobtail Ln",
            "city": "Marysville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430407020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.