Provider Demographics
NPI:1003335761
Name:ZILAI, ALYSON (LAC)
Entity Type:Individual
Prefix:MS
First Name:ALYSON
Middle Name:
Last Name:ZILAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 RIVERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1756
Mailing Address - Country:US
Mailing Address - Phone:908-489-6368
Mailing Address - Fax:
Practice Address - Street 1:3911 HERBERTSVILLE RD
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08724-0904
Practice Address - Country:US
Practice Address - Phone:908-489-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00218700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health