Provider Demographics
NPI:1720695380
Name:ALLIANCE THERAPY ASSOCIATES, LLC
Entity type:Organization
Organization Name:ALLIANCE THERAPY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-205-9262
Mailing Address - Street 1:29 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3744
Mailing Address - Country:US
Mailing Address - Phone:781-775-1564
Mailing Address - Fax:
Practice Address - Street 1:76 BEDFORD STREET, SUITE 12, OFFICE 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420
Practice Address - Country:US
Practice Address - Phone:781-205-9262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)