Provider Demographics
NPI:1629352919
Name:BUCHHEIT, ALYCIA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ALYCIA
Middle Name:
Last Name:BUCHHEIT
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 CHESTNUT HILL AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4118
Mailing Address - Country:US
Mailing Address - Phone:617-620-1471
Mailing Address - Fax:
Practice Address - Street 1:12 MIDDLESEX RD UNIT 67313
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-6713
Practice Address - Country:US
Practice Address - Phone:617-620-1471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA12997-MH-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health