MEDICARE: ALPHABET THERAPY INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1912784299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHABET THERAPY INC.

Provider Business Mailing Address
First Line	:	2512 ARTESIA BLVD STE 305C
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3269
Country	:	US
Telephone Number	:	424-256-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 ARTESIA BLVD STE 305C
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3269
Country	:	US
Telephone Number	:	424-256-3810
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURA TWERSKY
Credential	:
Telephone Number	:	424-256-3810

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

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