Healthcare Provider Details

I. General information

NPI: 1356369250
Provider Name (Legal Business Name): EAP ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 MIDDLEBURG DR STE 208
COLUMBIA SC
29204-2479
US

IV. Provider business mailing address

2700 MIDDLEBURG DR STE 208
COLUMBIA SC
29204-2479
US

V. Phone/Fax

Practice location:
  • Phone: 800-968-8143
  • Fax: 803-799-3772
Mailing address:
  • Phone: 800-968-8143
  • Fax: 803-799-3772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA LUND
Title or Position: PRESIDENT/COO
Credential: LPC, LEAP, CEAP
Phone: 800-968-8143