Healthcare Provider Details

I. General information

NPI: 1154914125
Provider Name (Legal Business Name): ALYSSA NORWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 N THOMPSON LN STE B
IRWIN PA
15642-9305
US

IV. Provider business mailing address

27 N THOMPSON LN STE B
IRWIN PA
15642-9305
US

V. Phone/Fax

Practice location:
  • Phone: 724-382-4941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020605
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: