Provider Demographics
NPI:1710556196
Name:PYLE, ALISSA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:JEAN
Last Name:PYLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 W 12TH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3380
Mailing Address - Country:US
Mailing Address - Phone:814-204-3829
Mailing Address - Fax:814-969-7733
Practice Address - Street 1:3800 W 12TH ST STE 5
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-3380
Practice Address - Country:US
Practice Address - Phone:814-204-3829
Practice Address - Fax:814-969-7733
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional