Organization
ALPHA 180 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAAS DOORN (DIRECTOR OF RECOVERY SERVICES)
(919) 606-7392
Entity
Organization
Contact information
Practice address
2416 S LAMAR BLVD STE A, AUSTIN, TX 78704-4709
(919) 606-7392
Mailing address
2416 S LAMAR BLVD STE A, AUSTIN, TX 78704-4709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/21/2018
Last updated
12/16/2025
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