Provider Demographics
NPI:1538020748
Name:ALLETZHAUSER LLC
Entity type:Organization
Organization Name:ALLETZHAUSER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPP
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLETZHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPP, DMIN, MDIV
Authorized Official - Phone:603-845-1866
Mailing Address - Street 1:47 ENTERPRISE DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2033
Mailing Address - Country:US
Mailing Address - Phone:603-845-1866
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:47 ENTERPRISE DR UNIT 103
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2033
Practice Address - Country:US
Practice Address - Phone:603-845-1866
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty