Healthcare Provider Details

I. General information

NPI: 1811853948
Provider Name (Legal Business Name): ALLORA THERAPEUTIC SERVICES, A LICENSED CLINICAL SOCIAL WORKER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 MACDONALD AVE STE A-750
RICHMOND CA
94801-3267
US

IV. Provider business mailing address

1503 MACDONALD AVE STE A-750
RICHMOND CA
94801-3267
US

V. Phone/Fax

Practice location:
  • Phone: 510-859-3781
  • Fax:
Mailing address:
  • Phone: 510-859-3781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELLEN VARGAS
Title or Position: OWNER
Credential: LCSW
Phone: 510-859-3781