Healthcare Provider Details

I. General information

NPI: 1427952639
Provider Name (Legal Business Name): ALISA ANASTASIA LEONARDI-REIF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E WYLIE AVE STE 1-3
WASHINGTON PA
15301-2059
US

IV. Provider business mailing address

50 E WYLIE AVE STE 1-3
WASHINGTON PA
15301-2059
US

V. Phone/Fax

Practice location:
  • Phone: 724-221-9712
  • Fax:
Mailing address:
  • Phone: 724-221-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberNA
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: