Alliance Behavioral Care LLC
NPI 1275178402ActiveOrganization· Social Worker, Clinical· Ypsilanti, MI
Social Worker, Clinical in Ypsilanti, Michigan, registered in NPPES in November 2019. The authorized official on file is Latasha Marie Shannon, LMSW, CAADC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275178402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2019 |
| Last updated in NPPES | Mar 6, 2020 |
| Certified by provider | Mar 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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