Healthcare Provider Details

I. General information

NPI: 1285520726
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BOROLINE RD
SADDLE RIVER NJ
07458-2343
US

IV. Provider business mailing address

3723 GREENVILLE AVE STE 50904
DALLAS TX
75206-5311
US

V. Phone/Fax

Practice location:
  • Phone: 918-608-0380
  • Fax:
Mailing address:
  • Phone: 918-608-0380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD LOBATO
Title or Position: CEO
Credential:
Phone: 918-608-0380