Provider Demographics
NPI:1467695841
Name:MYERS, ALISON LEIGH (LMHC, ATR)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:LEIGH
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S PLANT AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2325
Mailing Address - Country:US
Mailing Address - Phone:727-280-6874
Mailing Address - Fax:813-250-3511
Practice Address - Street 1:333 S PLANT AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2325
Practice Address - Country:US
Practice Address - Phone:727-280-6874
Practice Address - Fax:813-250-3511
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH11542101YM0800X
CAIMF57663106H00000X
FLMH13675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist