Healthcare Provider Details

I. General information

NPI: 1841914231
Provider Name (Legal Business Name): ALYSSA J KLEVA MS, LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CONCOURSE BLVD STE 111
GLEN ALLEN VA
23059-5642
US

IV. Provider business mailing address

1211 STEWART AVE STE 100
BETHPAGE NY
11714-1601
US

V. Phone/Fax

Practice location:
  • Phone: 804-374-9484
  • Fax:
Mailing address:
  • Phone: 804-374-9484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017414
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701012435
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: