O'Keefe, Alyssa
O'Keefe, Alyssa is an individual health care provider with primary practice located at 175 Wilson Ave , Port Monmouth NJ 07758-1420. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. O'Keefe, Alyssa can be contacted via phone (551) 221-1759.Contact Information
Primary practice address
175 Wilson Ave
Port Monmouth NJ 07758-1420
Phone: (551) 221-1759
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37AC00288300 | New Jersey |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00655500 | New Jersey |
Profile Details
NPI number | 1164933081 |
---|---|
LBN Legal business name | O'Keefe, Alyssa |
Credentials | NCC, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2017 |
Last updated | Jan 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164933081 | NPPES |
New Jersey | MEDICAID | 0029807 |
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