MEDICARE: ALLIANCE BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1457295107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	7726 WINEGARD RD STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7147
Country	:	US
Telephone Number	:	407-201-3033
Fax Number	:	407-550-6315

Provider Business Practice Location Address
First Line	:	7726 WINEGARD RD STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7147
Country	:	US
Telephone Number	:	407-201-3033
Fax Number	:	407-550-6315

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. STEPHANY THOMPSON
Credential	:	DBH, LCSW
Telephone Number	:	407-201-3033

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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