Provider Demographics
NPI:1568137206
Name:ROWE, ALYSSA NOEL (LMSW)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:NOEL
Last Name:ROWE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:NOEL
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1985 FM 758
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6694
Mailing Address - Country:US
Mailing Address - Phone:830-620-1175
Mailing Address - Fax:
Practice Address - Street 1:1985 FM 758
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6694
Practice Address - Country:US
Practice Address - Phone:830-620-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58516104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker