Provider Demographics
NPI:1477887529
Name:HOLT, ALISON E (LMHC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:HOLT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:E
Other - Last Name:MANSAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LMHC
Mailing Address - Street 1:2090 ADAM CLAYTON POWELL JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4990
Mailing Address - Country:US
Mailing Address - Phone:608-234-0116
Mailing Address - Fax:
Practice Address - Street 1:2090 ADAM CLAYTON POWELL JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4990
Practice Address - Country:US
Practice Address - Phone:608-234-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007011-1101YM0800X
IA075519101YM0800X
IL180.009011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health