Alt Therapy LLC

Clinical Social Worker · Urbana, IL

Organization Active NPI

NPI number 1457035677

Practice location

1313 E Harding Dr
Urbana, IL 61801-6452
Phone
(815) 242-0701

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NPI record

NPI
1457035677
Entity type
Organization (Type 2)
Enumeration date
June 9, 2023
Last updated
June 9, 2023
Certified
June 9, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Social Worker 104100000X — —

Authorized official

Name
Tyler Koontz, LSW
Title
Co-Owner
Phone
(618) 367-2138

About Alt Therapy LLC

Alt Therapy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1313 E Harding Dr, Urbana, IL 61801-6452. The NPI number 1457035677 was assigned on June 9, 2023 and the record was last updated on June 9, 2023.

The authorized official for this organization is Tyler Koontz, LSW, Co-Owner.

Frequently asked questions

What is the NPI number of Alt Therapy LLC?

The NPI number is 1457035677.

What is the phone number of Alt Therapy LLC?

The phone number listed for the practice location is (815) 242-0701.

Where is Alt Therapy LLC located?

1313 E Harding Dr, Urbana, IL 61801-6452.

What is the taxonomy code for Alt Therapy LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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