Healthcare Provider Details

I. General information

NPI: 1104747658
Provider Name (Legal Business Name): UNIVERSAL MIND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3477 CORPORATE PKWY STE 100
CENTER VALLEY PA
18034-8237
US

IV. Provider business mailing address

3477 CORPORATE PKWY STE 100
CENTER VALLEY PA
18034-8237
US

V. Phone/Fax

Practice location:
  • Phone: 484-523-3886
  • Fax: 610-862-3716
Mailing address:
  • Phone: 484-523-3886
  • Fax: 610-862-3716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LIZA JOAN ALVARADO
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LPC
Phone: 484-523-3886