Provider Demographics
NPI:1578877122
Name:ALISON R. ELIE, M.S., LCPC, LLC
Entity Type:Organization
Organization Name:ALISON R. ELIE, M.S., LCPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:ELIE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MS, LCPC, BCBP
Authorized Official - Phone:301-943-1885
Mailing Address - Street 1:10 WACHS CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1715
Mailing Address - Country:US
Mailing Address - Phone:301-943-1885
Mailing Address - Fax:301-774-2993
Practice Address - Street 1:10 WACHS CT
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1715
Practice Address - Country:US
Practice Address - Phone:301-943-1885
Practice Address - Fax:301-774-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCPC1419251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health