Provider Demographics
NPI:1295748036
Name:LI, ALISON LOTTIE ADLAF (LMSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:LOTTIE ADLAF
Last Name:LI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:LOTTIE
Other - Last Name:ADLAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:514 E WILLIAM ST STE D
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2446
Mailing Address - Country:US
Mailing Address - Phone:734-834-1055
Mailing Address - Fax:734-215-6610
Practice Address - Street 1:514 E WILLIAM ST STE D
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2446
Practice Address - Country:US
Practice Address - Phone:734-834-1055
Practice Address - Fax:734-215-6610
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0790301041C0700X
MI6801086076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical