Healthcare Provider Details

I. General information

NPI: 1265959902
Provider Name (Legal Business Name): ALDER COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 LINCOLN WAY STE 103
WHITE OAK PA
15131-1700
US

IV. Provider business mailing address

1514 LINCOLN WAY STE 103
WHITE OAK PA
15131-1700
US

V. Phone/Fax

Practice location:
  • Phone: 412-443-9863
  • Fax:
Mailing address:
  • Phone: 412-927-3691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009643
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberPC009643
License Number StatePA

VIII. Authorized Official

Name: ROBYN GRETZ
Title or Position: LPC
Credential:
Phone: 412-927-3691