Provider Demographics
NPI:1679788178
Name:ALROD, LORI ROBIN (MA LMHC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ROBIN
Last Name:ALROD
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 1:6 FIRELIGHT CT
Mailing Address - Street 2:DIX HILLS NY
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8316
Mailing Address - Country:US
Mailing Address - Phone:631-339-1058
Mailing Address - Fax:
Practice Address - Street 1:6 FIRELIGHT CT
Practice Address - Street 2:DIX HILLS NY
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-8316
Practice Address - Country:US
Practice Address - Phone:631-339-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001278-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health