Provider Demographics
NPI:1689735508
Name:MITCHELL, ALYSSA MAURI (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:MAURI
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 ENTERPRISE PKWY STE 340
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7340
Mailing Address - Country:US
Mailing Address - Phone:216-766-5743
Mailing Address - Fax:216-937-0187
Practice Address - Street 1:3401 ENTERPRISE PKWY STE 340
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7340
Practice Address - Country:US
Practice Address - Phone:216-766-5743
Practice Address - Fax:216-937-0187
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4152101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor