Provider Demographics
NPI:1912703208
Name:L'OFFICIAL, ALEXANDER T (MHC-LP)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:T
Last Name:L'OFFICIAL
Suffix:
Gender:
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 COLUMBIA ST APT 13C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2711
Mailing Address - Country:US
Mailing Address - Phone:917-513-8071
Mailing Address - Fax:
Practice Address - Street 1:41 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1160
Practice Address - Country:US
Practice Address - Phone:646-762-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health