Provider Demographics
NPI:1902227861
Name:STRICKLAND, ALYSSA C (LPC, ATR-BC, CSAC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:C
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPC, ATR-BC, CSAC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:C
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17579 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23603-1343
Mailing Address - Country:US
Mailing Address - Phone:757-888-0400
Mailing Address - Fax:757-888-0359
Practice Address - Street 1:17579 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23603-1343
Practice Address - Country:US
Practice Address - Phone:757-888-0400
Practice Address - Fax:757-888-0359
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102816101YA0400X
VA0701005676101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30016273730004Medicaid