Healthcare Provider Details

I. General information

NPI: 1518821560
Provider Name (Legal Business Name): ALT SERVICES, CONSULTING, AND INST.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 FORUM PL STE B2052
WEST PALM BEACH FL
33401-2336
US

IV. Provider business mailing address

1691 FORUM PL STE B
WEST PALM BEACH FL
33401-2336
US

V. Phone/Fax

Practice location:
  • Phone: 561-764-3343
  • Fax:
Mailing address:
  • Phone: 561-764-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIKA PARKS
Title or Position: LMHC
Credential: MS
Phone: 561-764-3343