Provider Demographics
NPI:1851013916
Name:GALA ALICIA KRPAN LMHC LLC
Entity type:Organization
Organization Name:GALA ALICIA KRPAN LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-777-3388
Mailing Address - Street 1:12951 UNIVERSITY AVENUE
Mailing Address - Street 2:SUITE 200D
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325
Mailing Address - Country:US
Mailing Address - Phone:515-207-0125
Mailing Address - Fax:515-777-3387
Practice Address - Street 1:12951 UNIVERSITY AVENUE
Practice Address - Street 2:SUITE 200D
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325
Practice Address - Country:US
Practice Address - Phone:515-207-0125
Practice Address - Fax:515-777-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty