Healthcare Provider Details

I. General information

NPI: 1134803554
Provider Name (Legal Business Name): ALYSSA BECKER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CITY PKWY W STE 200
ORANGE CA
92868-2941
US

IV. Provider business mailing address

500 CITY PKWY W STE 200
ORANGE CA
92868-2941
US

V. Phone/Fax

Practice location:
  • Phone: 714-480-6774
  • Fax:
Mailing address:
  • Phone: 714-480-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: