Provider Demographics
NPI:1710485388
Name:CAREY, ALYSSA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 QUARRY DR APT D
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12803-4226
Mailing Address - Country:US
Mailing Address - Phone:518-935-3248
Mailing Address - Fax:
Practice Address - Street 1:963 NY-146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3636
Practice Address - Country:US
Practice Address - Phone:518-935-3248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002536OtherNYS EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES
NY881522428OtherNYS