| Alliance Behavioral Health, Llc | |
|
823 Broad St Augusta GA 30901-1214 | |
| (803) 221-0441 | |
| Not Available |
| Full Name | Alliance Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 823 Broad St, Augusta, Georgia |
| Authorized Official Name and Position | Carlos Foster (LCSW) |
| Authorized Official Contact | 8032210441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Behavioral Health, Llc 823 Broad St Augusta GA 30901-1214 Ph: () - | Alliance Behavioral Health, Llc 823 Broad St Augusta GA 30901-1214 Ph: (803) 221-0441 |
| NPI Number | 1093564825 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 4486190238 |
|---|---|
| Medicare Enrollment ID | O20240729002039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093564825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carlos Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518339878 PECOS PAC ID: 9830486307 Enrollment ID: I20240808003814 |
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