Healthcare Provider Details

I. General information

NPI: 1235328295
Provider Name (Legal Business Name): ESMERALDA A. ALAMIA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W CAMPBELL RD STE 1
RICHARDSON TX
75080-3357
US

IV. Provider business mailing address

PO BOX 856
ANTIOCH IL
60002-0856
US

V. Phone/Fax

Practice location:
  • Phone: 847-903-5604
  • Fax: 224-788-5112
Mailing address:
  • Phone: 847-903-5604
  • Fax: 224-788-5112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20513
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20513
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: