Provider Demographics
NPI:1013626852
Name:ALONSO-PRICE, LAURA MARCELA (MSN, LISW-CP, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MARCELA
Last Name:ALONSO-PRICE
Suffix:
Gender:F
Credentials:MSN, LISW-CP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SAINT FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3955
Mailing Address - Country:US
Mailing Address - Phone:864-255-1000
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3999
Practice Address - Country:US
Practice Address - Phone:864-380-0555
Practice Address - Fax:864-566-6552
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC149611041C0700X
SC220234163WC0400X
SC27054363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163WC0400XNursing Service ProvidersRegistered NurseCase Management