Doctor Name: | MRS. ALICE PAIGE LASEK |
NPI Number: | 1740213933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | |
Business Practice Address: | 1335 44th Ave N Executive Center - Suite 204 Myrtle Beach, SC - 295775980 |
Business Phone Number: | 8439070678 |
Business Fax Number: | |
Mailing Address: | 6215 Westwood Ln, MYRTLE BEACH |
State: | SC |
Postal Code: | 295888111 |
Phone Number: | 8432362006 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |