Provider Demographics
NPI:1972735975
Name:ALLIANCE COUNSELING & THERAPEUTIC
Entity type:Organization
Organization Name:ALLIANCE COUNSELING & THERAPEUTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PALLADINO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-952-4630
Mailing Address - Street 1:53 STILES RD
Mailing Address - Street 2:SUITE B202
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2889
Mailing Address - Country:US
Mailing Address - Phone:603-952-4630
Mailing Address - Fax:603-952-4631
Practice Address - Street 1:53 STILES RD
Practice Address - Street 2:SUITE B202
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2889
Practice Address - Country:US
Practice Address - Phone:603-952-4630
Practice Address - Fax:603-952-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2239101YA0400X
NH0648101YA0400X
MA1150201041C0700X
MA1136791041C0700X
NH14721041C0700X
NH14611041C0700X
MA1148291041C0700X
NH14751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty