ALYSSA RENEE KIRK


Address: 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124
Phone: 2158319882

ALYSSA RENEE KIRK (NPI# 1215327051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215327051
Entity Type Individual
Full Name ALYSSA RENEE KIRK
Credential L.P.C.
Practice Address 4500-10 Frankford Ave
2nd Floor
Philadelphia
PA 19124
Mailing Address 1401 S 31st St
2nd Floor
Philadelphia
PA 19146-3506
Practice Telephone 2158319882
Practice Fax Number 2158319887
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2015-02-02
Last Update Date 2016-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC007717 PA Behavioral Health & Social Service Providers

Office Location

Street Address 4500-10 FRANKFORD AVE
2ND FLOOR
City PHILADELPHIA
State PA
Zip Code 19124

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1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1952843732 Patrick Grugan Social Worker Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 2016-11-10
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1851769327 Aleka Kostouros Social Worker Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 2015-09-14
1407230378 Sara Bachani Psychiatry & Neurology 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 2015-07-10
1417357088 Alexander Ruxton Specialist/Technologist 4051 Castor Ave, Philadelphia, PA 19124 2014-09-02
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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