Provider Demographics
NPI:1558899864
Name:GRIESHEIMER, ALYSIA (LPC)
Entity Type:Individual
Prefix:
First Name:ALYSIA
Middle Name:
Last Name:GRIESHEIMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WHITNEY AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2502
Mailing Address - Country:US
Mailing Address - Phone:504-263-1403
Mailing Address - Fax:504-263-1423
Practice Address - Street 1:401 WHITNEY AVE STE 320
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2502
Practice Address - Country:US
Practice Address - Phone:504-263-1403
Practice Address - Fax:504-263-1423
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 1041C0700X, 171M00000X
LA6937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator