ALYSE FANDRICH
NPI 1508418203
Counselor - Professional in Baxley, GA
- Individual
- Female
- Counselor
- Professional
About ALYSE FANDRICH
This page provides the complete NPI Profile along with additional information for Alyse Fandrich, a provider established in Baxley, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1508418203 assigned on July 2019. The practitioner's primary taxonomy code is 101YP2500X with license number LPC010854 (GA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1508418203 Verify this NPI
- Provider Name
- ALYSE FANDRICH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 755 S MAIN ST BAXLEY, GA 31513
- Location Phone
- (912) 367-4614
- Location Fax
- (912) 367-9048
- Mailing Address
- 755 S MAIN ST BAXLEY, GA 31513
- Mailing Phone
- (912) 367-4614
- Mailing Fax
- (912) 367-9048
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2019
- Last Update Date
- 07-12-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC010854
- License State
- GA
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508418203, enumerated as an "individual" on July 12, 2019.
The provider is located at 755 S MAIN ST BAXLEY, GA 31513 and the phone number is (912) 367-4614.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
