Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alphonso Ivy Jr., PLPC

Individual provider Counselor · NPI 1316392061

Alphonso Ivy Jr., PLPC is a Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

1323 Sullivan Ave
Saint Louis, MO 63107-3919
Phone: (314) 503-1746
Fax: (314) 488-2059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2016012675 (MO)

Record details

NPI number1316392061
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESMay 2, 2016

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