Healthcare Provider Details

I. General information

NPI: 1275349904
Provider Name (Legal Business Name): ALAYNA WEST LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2024
Last Update Date: 12/07/2024
Certification Date: 12/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W WILLIAMS ST STE 203
APEX NC
27502-5200
US

IV. Provider business mailing address

1101 EXCHANGE PL APT 1022
DURHAM NC
27713-1895
US

V. Phone/Fax

Practice location:
  • Phone: 919-335-5053
  • Fax:
Mailing address:
  • Phone: 605-366-7938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20784
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: