Provider Demographics
| NPI: | 1194349274 |
|---|---|
| Name: | ALLAGI BEHAVIORAL HEALTH SERVICES INC |
| Entity type: | Organization |
| Organization Name: | ALLAGI BEHAVIORAL HEALTH SERVICES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | THERESA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | DEL BIAGGIO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | ACSW |
| Authorized Official - Phone: | 916-613-8867 |
| Mailing Address - Street 1: | 2864 RAY LAWYER DR STE 209 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PLACERVILLE |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 95667-3937 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 530-344-7241 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2864 RAY LAWYER DR STE 209 |
| Practice Address - Street 2: | |
| Practice Address - City: | PLACERVILLE |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 95667-3937 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 530-344-7241 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-06-03 |
| Last Update Date: | 2023-07-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 163WP0809X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
| No | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Medicine | Group - Multi-Specialty |
| No | 251B00000X | Agencies | Case Management | ||
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
| No | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health | |
| No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
