MEDICARE: ALICEA ANN LEDBETTER REDDY AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	AMFT151573	CA

General Provider Information

NPI Number	:	1306656871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICEA ANN LEDBETTER REDDY AMFT

Provider Business Mailing Address
First Line	:	PO BOX 2548
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96158-4048
Country	:	US
Telephone Number	:	530-350-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	3079 HARRISON AVE STE 25
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-7978
Country	:	US
Telephone Number	:	530-350-5150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

Similar Medicare Providers

1063063931 — MARILYN NICOLE ARTINIAN MS, BCBA
Practice Location Address:

3079 HARRISON AVE STE 26
SOUTH LAKE TAHOE, CA
96150-7978

Practice Phone: 513-295-6448
Practice Fax:

1407420631 — ERIN MOFFAT
Practice Location Address:

3079 HARRISON AVE STE 26
SOUTH LAKE TAHOE, CA
96150-7978

Practice Phone: 530-578-3859
Practice Fax:

1326810722 — CHRISTY WALOWIT
Practice Location Address:

3079 HARRISON AVE STE 12
SOUTH LAKE TAHOE, CA
96150-7978

Practice Phone: 530-314-8870
Practice Fax: 530-314-8972

1225992076 — EAT BEYOND LABELS INC
Practice Location Address:

3079 HARRISON AVE STE 12
SOUTH LAKE TAHOE, CA
96150-7978

Practice Phone: 530-314-8870
Practice Fax: 530-314-8972

1669199410 — STACIA HILLARY BAKER MSW, LCSW
Practice Location Address:

64 AIKEN ST APT 203
SOUTH BURLINGTON, VT
05403-7978

Practice Phone: 617-953-9169
Practice Fax:

1932201712 — DR. MUHAMMAD ALI M.D.
Practice Location Address:

360 STATION DR
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-338-6600
Practice Fax: 815-455-8044

Directions to “ ALICEA ANN LEDBETTER REDDY AMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.