Provider Demographics
NPI:1497145379
Name:PINKNEY, ALAYSHIA R (LPC, CAADC, CSAC)
Entity Type:Individual
Prefix:
First Name:ALAYSHIA
Middle Name:R
Last Name:PINKNEY
Suffix:
Gender:F
Credentials:LPC, CAADC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4549 VAUXHALL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3556
Mailing Address - Country:US
Mailing Address - Phone:631-745-3778
Mailing Address - Fax:
Practice Address - Street 1:4549 VAUXHALL RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-3556
Practice Address - Country:US
Practice Address - Phone:631-745-3778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional