Provider Demographics
NPI:1184099509
Name:FLORESCA, ALYSSA LEIGH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:LEIGH
Last Name:FLORESCA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 STONEBROOK PKWY UNIT 2397
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6182
Mailing Address - Country:US
Mailing Address - Phone:469-600-7919
Mailing Address - Fax:469-533-8992
Practice Address - Street 1:8700 STONEBROOK PKWY UNIT 2397
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6182
Practice Address - Country:US
Practice Address - Phone:469-600-7919
Practice Address - Fax:469-533-8992
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX571931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical