MEDICARE: ALPHA RECOVERY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	101YP2500X	Professional Counselor
4	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700562998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA RECOVERY LLC

Provider Business Mailing Address
First Line	:	15326 CRESCENT BROOKFIELD DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4957
Country	:	US
Telephone Number	:	832-866-3737
Fax Number	:	281-503-7605

Provider Business Practice Location Address
First Line	:	15326 CRESCENT BROOKFIELD DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4957
Country	:	US
Telephone Number	:	832-866-3737
Fax Number	:	281-503-7605

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MR. ALAN BURNS
Credential	:	LPC
Telephone Number	:	832-866-3737

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	01/06/2026

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Directions to “ALPHA RECOVERY LLC ” Practice Location

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