Provider Demographics
NPI:1710218979
Name:HALAS, ALYSON LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:LYNN
Last Name:HALAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:LYNN
Other - Last Name:MEEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:9 TIMBER CREST DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-2704
Mailing Address - Country:US
Mailing Address - Phone:203-313-3478
Mailing Address - Fax:
Practice Address - Street 1:100 MILL PLAIN RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5178
Practice Address - Country:US
Practice Address - Phone:203-313-3478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0079621041C0700X
NY075828104100000X
NY0795611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008049530Medicaid