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General NPI Number Information
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NPI Number | 1295898393
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 2150 WHITNEY AVE
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City | MEMPHIS
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State | TN
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Zip | 38127-6662
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Country | US
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Telephone | 901-353-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 UNION AVE ALLIANCE HEALTHCARE SERVICES
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-369-1420
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Fax | 901-369-1433
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Authorized Official
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Title or Position | CEO
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Name | LAURIE JEAN POWELL
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Credential | LCSW
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Telephone | 901-567-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L2140766281
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L2140766280
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L2140766279
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 269
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L2140766278
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L2140766281
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L2140766280
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License Number State | TN
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L2140766279
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | TN
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | TN
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Taxonomy #13
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | L18537
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License Number State | TN
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Taxonomy #14
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 276
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License Number State | TN
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