# ALIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285367730
- **Authorized official:** CARMEN KOSICEK PMHNP-BC (OWNER)
- **Authorized official phone:** (520) 771-0555

## Contact information

- **Practice address:** 699 WALNUT ST STE 10, DES MOINES, IA 50309-3929
- **Practice address phone:** (515) 416-8830
- **Practice address fax:** (262) 260-9109
- **Mailing address:** 7426 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
- **Mailing address phone:** (520) 771-0555
- **Mailing address fax:** (262) 260-9109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 12/07/2022