Provider Demographics
NPI:1174347694
Name:LACHEY, ALEX (LMHC-LP)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:LACHEY
Suffix:
Gender:X
Credentials:LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 W 115TH ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2400
Mailing Address - Country:US
Mailing Address - Phone:937-903-9133
Mailing Address - Fax:
Practice Address - Street 1:322 8TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-8001
Practice Address - Country:US
Practice Address - Phone:212-243-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP127030101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health