Provider Demographics
NPI:1043877343
Name:ALBA WELLNESS CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:ALBA WELLNESS CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-566-1280
Mailing Address - Street 1:433 KITTY HAWK RD STE 219
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-3829
Mailing Address - Country:US
Mailing Address - Phone:210-566-1280
Mailing Address - Fax:210-579-8533
Practice Address - Street 1:433 KITTY HAWK RD STE 219
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3829
Practice Address - Country:US
Practice Address - Phone:210-566-1280
Practice Address - Fax:210-579-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management