Provider Demographics
NPI:1174517148
Name:ALLIANCE HEALTH WRAPAROUND ALLEGHENY INC
Entity type:Organization
Organization Name:ALLIANCE HEALTH WRAPAROUND ALLEGHENY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-823-5293
Mailing Address - Street 1:635 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-1137
Mailing Address - Country:US
Mailing Address - Phone:412-823-5293
Mailing Address - Fax:412-823-5294
Practice Address - Street 1:635 BROWN AVE
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-1137
Practice Address - Country:US
Practice Address - Phone:412-823-5293
Practice Address - Fax:412-823-5294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000524L103T00000X
103TB0200X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty