NPI Code Detail JSON Logo

1265925796 NPI number — THERAPY WITH ALYSE, LLC

NPI Number: 1265925796
Health Care Provider/Practitioner: THERAPY WITH ALYSE, LLC

Information about “1265925796” NPI (THERAPY WITH ALYSE, LLC) exists in 1265925796 in HTML format HTML  |  1265925796 in plain Text format TXT  |  1265925796 in PDF (Portable Document Format) PDF  |  1265925796 in an XML format XML  formats.

NPI Number : 1265925796 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265925796",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THERAPY WITH ALYSE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7901 4TH ST N STE 8058",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST PETERSBURG",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33702-4305",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-438-0694",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1769 JAMESTOWN RD STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILLIAMSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23185-2307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-438-0694",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2018",
    "LastUpdateDate": "08/26/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCKEAL",
    "AuthorizedOfficialFirstName": "ALYSE",
    "AuthorizedOfficialMiddleName": "HELENE ERGOOD",
    "AuthorizedOfficialTitle": "LICENSED CLINICAL SOCIAL WORKER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "856-438-0694",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.