Provider Demographics
NPI:1720408289
Name:ALEXY COUNSELING PRACTICE LLC
Entity type:Organization
Organization Name:ALEXY COUNSELING PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALEXY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-656-7078
Mailing Address - Street 1:2961 W LIBERTY AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2546
Mailing Address - Country:US
Mailing Address - Phone:412-343-6044
Mailing Address - Fax:412-561-5937
Practice Address - Street 1:2961 W LIBERTY AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2546
Practice Address - Country:US
Practice Address - Phone:412-343-6044
Practice Address - Fax:412-561-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty