Healthcare Provider Details

I. General information

NPI: 1750296786
Provider Name (Legal Business Name): AMY ALVAREZ COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 E RELIANCE RD
SOUDERTON PA
18964-1333
US

IV. Provider business mailing address

22 E RELIANCE RD
SOUDERTON PA
18964-1333
US

V. Phone/Fax

Practice location:
  • Phone: 951-398-1976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MISS AMY ALVAREZ
Title or Position: OWNER
Credential: LMFT
Phone: 951-398-1976