Healthcare Provider Details

I. General information

NPI: 1588048854
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH AND YOUTH CONSULTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 OLD CONCORD TPKE UNIT B
BARRINGTON NH
03825-5211
US

IV. Provider business mailing address

PO BOX 1592
RAYMOND NH
03077-3592
US

V. Phone/Fax

Practice location:
  • Phone: 603-343-2166
  • Fax: 603-347-8417
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1006
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES CARLETON FRANCIS MARSTON
Title or Position: CLINICAL DIRECTOR
Credential: LCMHC
Phone: 603-343-2166