O'Keefe, Alyssa

O'Keefe, Alyssa is an individual health care provider with primary practice located at 175 Wilson Ave , Port Monmouth NJ 07758-1420. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. O'Keefe, Alyssa can be contacted via phone (551) 221-1759.

Contact Information

Primary practice address
175 Wilson Ave Port Monmouth NJ 07758-1420
Phone: (551) 221-1759
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00288300 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00655500 New Jersey

Profile Details

NPI number 1164933081
LBN Legal business name O'Keefe, Alyssa
Credentials NCC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Jan 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164933081 NPPES
New Jersey MEDICAID 0029807

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