Provider Demographics
NPI:1538814587
Name:ALWAN COUNSELING SERVICES
Entity type:Organization
Organization Name:ALWAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAYNAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ALWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CPC
Authorized Official - Phone:612-460-0570
Mailing Address - Street 1:873 WILLOW BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7842
Mailing Address - Country:US
Mailing Address - Phone:612-245-1040
Mailing Address - Fax:
Practice Address - Street 1:5325 S FORT APACHE RD STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4666
Practice Address - Country:US
Practice Address - Phone:612-460-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty