Healthcare Provider Details

I. General information

NPI: 1629330766
Provider Name (Legal Business Name): VICTORIA ALERCIA-CASELLA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 06/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E BROAD ST
BETHLEHEM PA
18018-6311
US

IV. Provider business mailing address

429 WILLIAMS ST
EASTON PA
18042-6548
US

V. Phone/Fax

Practice location:
  • Phone: 610-905-2153
  • Fax: 610-865-1526
Mailing address:
  • Phone: 610-905-2153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006570
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: