Organization
ALPHA SERVICE INDUSTRIES, INC.
Active
Other names
Alpha Emergence Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
SARA HEISEL (PRACTICE MANAGER)
(763) 333-8001
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, STE 1050, MINNEAPOLIS, MN 55402-2624
(763) 333-8001
(651) 925-0267
Mailing address
825 NICOLLET MALL, STE 1050, MINNEAPOLIS, MN 55402-2624
(763) 333-8001
(651) 925-0267
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8465103
UBH
—
01
—
8465104
UBH
—
01
—
8465105
UBH
—
01
—
8465106
UBH
—
01
—
8465108
UBH
—
01
—
8565107
UBH
—
01
—
8G482AL
BLUE CROSS BLUE SHIELD
—
01
—
OG152AL
BLUE CROSS BLUE SHIELD
—
01
—
OG158AL
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/15/2007
Last updated
07/22/2023
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