Healthcare Provider Details

I. General information

NPI: 1063275501
Provider Name (Legal Business Name): ALP CREATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S 4TH AVE
CLARION PA
16214-1376
US

IV. Provider business mailing address

17 S 4TH AVE
CLARION PA
16214-1376
US

V. Phone/Fax

Practice location:
  • Phone: 814-227-7953
  • Fax: 814-797-9995
Mailing address:
  • Phone: 814-227-7953
  • Fax: 814-797-9995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DUSTIN DENNIS PARSONS
Title or Position: OWNER/DIRECTOR
Credential: LPC
Phone: 814-227-7953