MEDICARE: ALINTANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0850X	Adult Mental Health Clinic/Center
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1093416745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALINTANA LLC

Provider Business Mailing Address
First Line	:	5103 RAVENSDALE WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4827
Country	:	US
Telephone Number	:	201-673-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	5103 RAVENSDALE WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4827
Country	:	US
Telephone Number	:	201-673-7575
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KARMELYN LEE
Credential	:
Telephone Number	:	201-673-7575

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	06/26/2025

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Directions to “ALINTANA LLC ” Practice Location

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