Provider Demographics
NPI:1730845793
Name:REICHLE, WILLIAM ALEXANDER (LPC, NCC, LPCMH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:REICHLE
Suffix:
Gender:M
Credentials:LPC, NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 BIRMINGHAM RD STE 303
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-8205
Mailing Address - Country:US
Mailing Address - Phone:610-890-7951
Mailing Address - Fax:
Practice Address - Street 1:1390 BIRMINGHAM RD STE 303
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8205
Practice Address - Country:US
Practice Address - Phone:610-890-7951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013968101YM0800X
DEPC-0011193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC013968OtherLICENSED PROFESSIONAL COUNSELOR - LPC - PENNSYLVANIA