Provider Demographics
NPI:1902624398
Name:ALM THERAPY LLC
Entity type:Organization
Organization Name:ALM THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILSAP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:765-404-6025
Mailing Address - Street 1:101 FOUNDRY DR STE 1200
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-3446
Mailing Address - Country:US
Mailing Address - Phone:765-404-6025
Mailing Address - Fax:765-340-8075
Practice Address - Street 1:101 FOUNDRY DR STE 1200
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-3446
Practice Address - Country:US
Practice Address - Phone:765-404-6025
Practice Address - Fax:765-340-8075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty