Healthcare Provider Details

I. General information

NPI: 1861312902
Provider Name (Legal Business Name): ALCHEMY HEALTH COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 12TH ST
VA BCH VA
23451-4395
US

IV. Provider business mailing address

907 12TH ST
VA BCH VA
23451-4395
US

V. Phone/Fax

Practice location:
  • Phone: 806-281-4574
  • Fax:
Mailing address:
  • Phone: 806-281-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLYSON NICOLE KESLIN
Title or Position: OWNER
Credential: APRN
Phone: 806-281-4574