Provider Demographics
NPI:1336687474
Name:ALICIA PFAHLER COUNSELING
Entity Type:Organization
Organization Name:ALICIA PFAHLER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PFAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-380-0209
Mailing Address - Street 1:4001 NEWBERRY ROAD
Mailing Address - Street 2:SUITE C4
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2380
Mailing Address - Country:US
Mailing Address - Phone:352-380-0209
Mailing Address - Fax:
Practice Address - Street 1:4001 W NEWBERRY RD
Practice Address - Street 2:SUITE C4
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2392
Practice Address - Country:US
Practice Address - Phone:352-380-0209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty