Provider Demographics
NPI:1174252381
Name:STRAYHORN, ALISHA (LCMHCA, MS, NCC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:STRAYHORN
Suffix:
Gender:F
Credentials:LCMHCA, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 RALEIGH ROAD PKWY W UNIT 114
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-7704
Mailing Address - Country:US
Mailing Address - Phone:252-290-8099
Mailing Address - Fax:
Practice Address - Street 1:3201 NASH ST NW STE A
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-3000
Practice Address - Country:US
Practice Address - Phone:252-294-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health