Basic Information
| Provider Information | |||||||||
| NPI: | 1003142076 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAMBRANO | ||||||||
| FirstName: | ALANNA | ||||||||
| MiddleName: | ALEXANDER | ||||||||
| NamePrefix: | |||||||||
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| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ALEXANDER | ||||||||
| OtherFirstName: | ALANNA | ||||||||
| OtherMiddleName: | FAE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 601 N. CHERRY ST. | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WINSTON-SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271012933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367484007 | ||||||||
| FaxNumber: | 3367484108 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 N. CHERRY ST. | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WINSTON-SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271012933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367484007 | ||||||||
| FaxNumber: | 3367484108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2009 | ||||||||
| LastUpdateDate: | 10/04/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YS0200X | N | Behavioral Health & Social Service Providers | Counselor | School | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041S0200X | N | Behavioral Health & Social Service Providers | Social Worker | School |
No ID Information.