Provider Demographics
NPI:1437451838
Name:ALICIA STEVE, LPC, PC
Entity Type:Organization
Organization Name:ALICIA STEVE, LPC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-554-2103
Mailing Address - Street 1:2625 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-5232
Mailing Address - Country:US
Mailing Address - Phone:912-554-2103
Mailing Address - Fax:912-554-2193
Practice Address - Street 1:2625 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-5232
Practice Address - Country:US
Practice Address - Phone:912-554-2103
Practice Address - Fax:912-554-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001444251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health