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Organization
SEQUEL ALLIANCE FAMILY SERVICES, LLC
Active
Organization
SEQUEL ALLIANCE FAMILY SERVICES, LLC
Active
Parent organization
SEQUEL TSI HOLDING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUEL TSI HOLDING, LLC
Authorized official
MS. MARY E CAUDLE (CBO DIRECTOR OF PATIENT ACCOUNTS)
(256) 880-3339
Entity
Organization
Contact information
Practice address
1200 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2660
(208) 664-9729
(208) 665-5735
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6478
(256) 880-3339
(256) 880-9569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/24/2014
Last updated
01/28/2014
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