Organization Active NPI

Allegiance Resiliency Therapy L.L.C.

  • Community/Behavioral Health Agency
  • Crestview, FL
National Provider Identifier
1386290724
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALLEGIANCE RESILIENCY THERAPY L.L.C.
Practice address
550 N Main St Ste a
Crestview, FL 32536-3506
Phone
(850) 238-7131
NPI assigned
Aug 12, 2019
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Ms. Patricia Cross, MS, LMHCNPI 1427310390
Title
Ceo
Phone
(850) 238-7131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

550 N Main St Ste a
Crestview, FL 32536-3506

Mailing address

550 N Main St Ste a
Crestview, FL 32536-3506
Phone (850) 238-7131

Other practice location 1

1614 US Highway 90 W Ste A
Defuniak Springs, FL 32433-1463
Phone (850) 238-7131

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Trish@allegiancetraumatherapy.sprucecare.com

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Resiliency Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 N Main St
Ste A
Crestview, FL 32536
Phone (850) 238-7131

1614 US Highway 90 W
#A
Defuniak Springs, FL 32433
Phone (850) 238-7131

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1386290724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363506",
            "telephone_number": "850-238-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363506",
            "telephone_number": "850-238-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 US Highway 90 W Ste A",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324331463",
            "country_code": "US",
            "telephone_number": "850-238-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEGIANCE RESILIENCY THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-238-7131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Trish@allegiancetraumatherapy.sprucecare.com",
            "affiliation": "N",
            "address_1": "550 N Main St Ste A",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325363506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.