Provider Demographics
NPI:1417842022
Name:ALCHEMY THERAPY PA
Entity type:Organization
Organization Name:ALCHEMY THERAPY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEROL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-228-3148
Mailing Address - Street 1:9450 POINCIANA PL APT 405B
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4876
Mailing Address - Country:US
Mailing Address - Phone:954-228-3148
Mailing Address - Fax:
Practice Address - Street 1:9450 POINCIANA PL APT 405B
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4876
Practice Address - Country:US
Practice Address - Phone:954-228-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty