Provider Demographics
NPI:1083136238
Name:THOMAS, ALYSSA (MA, LPC, CAADC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, LPC, CAADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MCMURRAY RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1632
Mailing Address - Country:US
Mailing Address - Phone:412-439-1416
Mailing Address - Fax:
Practice Address - Street 1:37 MCMURRAY RD STE 204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1632
Practice Address - Country:US
Practice Address - Phone:412-439-1416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10179101YA0400X
PAPC009725101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)