Provider Demographics
NPI:1629687207
Name:KOSZEGHY, ALEXANDRA (LPCA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:KOSZEGHY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 JOHN ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1463
Mailing Address - Country:US
Mailing Address - Phone:864-453-1718
Mailing Address - Fax:864-416-4239
Practice Address - Street 1:300 JOHN ST STE 1A
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1463
Practice Address - Country:US
Practice Address - Phone:864-453-1718
Practice Address - Fax:864-416-4239
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional