Provider Demographics
NPI:1083912844
Name:ALISON ADLAF, LMSW
Entity Type:Organization
Organization Name:ALISON ADLAF, LMSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADLAF
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-834-1055
Mailing Address - Street 1:204 E WASHINGTON ST
Mailing Address - Street 2:201
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 E WASHINGTON ST
Practice Address - Street 2:201
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2008
Practice Address - Country:US
Practice Address - Phone:734-834-1055
Practice Address - Fax:734-864-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010860761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty