Provider Demographics
NPI:1174243679
Name:ALPHA COUNSELING SERVICES PLLC.
Entity type:Organization
Organization Name:ALPHA COUNSELING SERVICES PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-214-3822
Mailing Address - Street 1:15050 EDERBERRY LANE SUITE 6
Mailing Address - Street 2:15050 ELDERBERRY LANE SUITE 6
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-214-3822
Mailing Address - Fax:239-766-7533
Practice Address - Street 1:15050 EDERBERRY LANE SUITE 6
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:239-214-3822
Practice Address - Fax:239-214-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty