# ALPHA THERAPEUTIC SERVICES LLC

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

## Provider details

- **NPI number:** 1770004962
- **Authorized official:** DR. LINDA JOHNSON (CEO)
- **Authorized official phone:** (513) 259-6174

## Contact information

- **Practice address:** 636 NORTHLAND BLVD, CINCINNATI, OH 45240-3221
- **Practice address phone:** (513) 259-6174
- **Mailing address:** 636 NORTHLAND BLVD, STE 250, CINCINNATI, OH 45240-3221
- **Mailing address phone:** (513) 295-3219
- **Mailing address fax:** (513) 672-2722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 04/17/2019