Provider Demographics
NPI:1003344565
Name:MAPLES, ALISON CHRISTINE (MBA, LPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:CHRISTINE
Last Name:MAPLES
Suffix:
Gender:F
Credentials:MBA, LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E BIG BEAVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1216
Mailing Address - Country:US
Mailing Address - Phone:313-451-3315
Mailing Address - Fax:248-250-9874
Practice Address - Street 1:215 E BIG BEAVER RD STE 100
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1216
Practice Address - Country:US
Practice Address - Phone:313-451-3315
Practice Address - Fax:248-250-9874
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-30
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015916101Y00000X
MI6401017219101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor