Provider Demographics
NPI:1407594070
Name:DREILING, ALISHA DAWN (LPC, IBCLC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:DAWN
Last Name:DREILING
Suffix:
Gender:F
Credentials:LPC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 E LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4818
Mailing Address - Country:US
Mailing Address - Phone:256-436-5867
Mailing Address - Fax:
Practice Address - Street 1:623 S SEMINARY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5618
Practice Address - Country:US
Practice Address - Phone:256-436-5867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04906101YP2500X
L-314027174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174N00000XOther Service ProvidersLactation Consultant, Non-RN