Healthcare Provider Details

I. General information

NPI: 1356557425
Provider Name (Legal Business Name): ALIVIANE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 MEDICAL CENTER DR
EL PASO TX
79902-5010
US

IV. Provider business mailing address

PO BOX 1769
EL PASO TX
79949-1769
US

V. Phone/Fax

Practice location:
  • Phone: 915-782-4000
  • Fax: 915-778-3342
Mailing address:
  • Phone: 915-782-4000
  • Fax: 915-778-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number402
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUCI M SILVA
Title or Position: FINANCIAL SERVICES ADMINISTRATOR
Credential: CPC
Phone: 915-782-4000