Provider Demographics
NPI:1427716521
Name:ALPHA SOCIAL SERVICES INC
Entity type:Organization
Organization Name:ALPHA SOCIAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHAETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-363-7877
Mailing Address - Street 1:19901 SOUTHWEST FWY STE 141
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6538
Mailing Address - Country:US
Mailing Address - Phone:832-363-7877
Mailing Address - Fax:
Practice Address - Street 1:912 MILL ST
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-3449
Practice Address - Country:US
Practice Address - Phone:832-363-7877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. PHAETRA K. RANEY FOUNDATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-06
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty