Provider Demographics
NPI:1679786347
Name:THE ALTERNATIVE
Entity type:Organization
Organization Name:THE ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:CAC II
Authorized Official - Phone:803-951-3881
Mailing Address - Street 1:PO BOX 50467
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29250-0467
Mailing Address - Country:US
Mailing Address - Phone:803-951-3881
Mailing Address - Fax:
Practice Address - Street 1:407 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2661
Practice Address - Country:US
Practice Address - Phone:803-951-3881
Practice Address - Fax:803-951-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0309033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty