Provider Demographics
NPI:1366752388
Name:BROZEY, VALEN ALEXIS (LPC LMFT)
Entity type:Individual
Prefix:
First Name:VALEN
Middle Name:ALEXIS
Last Name:BROZEY
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:VALEN
Other - Middle Name:ALEXIS
Other - Last Name:COSTELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8220 CASTOR AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2729
Mailing Address - Country:US
Mailing Address - Phone:215-728-4649
Mailing Address - Fax:267-350-4887
Practice Address - Street 1:8220 CASTOR AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2729
Practice Address - Country:US
Practice Address - Phone:215-728-4649
Practice Address - Fax:267-350-4887
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001503106H00000X
PAPC007956101YP2500X
NJ37PC00833900101YP2500X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional