Provider Demographics
NPI:1013374180
Name:ROMANO, ALYSA (LPC)
Entity Type:Individual
Prefix:MS
First Name:ALYSA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7945 MACARTHUR BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1634
Mailing Address - Country:US
Mailing Address - Phone:786-719-3642
Mailing Address - Fax:503-231-8153
Practice Address - Street 1:7945 MACARTHUR BLVD STE 214
Practice Address - Street 2:
Practice Address - City:CABIN JOHN
Practice Address - State:MD
Practice Address - Zip Code:20818-1634
Practice Address - Country:US
Practice Address - Phone:786-719-3642
Practice Address - Fax:503-231-8153
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010659101YM0800X
FLMH19392101YM0800X
GALPC013970101YM0800X
NC18347101YM0800X
ORC4070101YP2500X
MDLC13008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional