Provider Demographics
NPI:1023985942
Name:CHARCHAR, ALISON GREEN (ATR)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:GREEN
Last Name:CHARCHAR
Suffix:
Gender:F
Credentials:ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 YELLOW POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-2954
Mailing Address - Country:US
Mailing Address - Phone:757-771-6188
Mailing Address - Fax:
Practice Address - Street 1:523 WAIT AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2727
Practice Address - Country:US
Practice Address - Phone:757-771-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05-208221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist