Provider Demographics
NPI:1700346400
Name:ALYSSA MAIRANZ MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:ALYSSA MAIRANZ MENTAL HEALTH COUNSELING PLLC
Other - Org Name:ALYSSA MAIRANZ THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-229-1386
Mailing Address - Street 1:16 MADISON SQ W FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1629
Mailing Address - Country:US
Mailing Address - Phone:347-947-7082
Mailing Address - Fax:
Practice Address - Street 1:16 MADISON SQ W FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1629
Practice Address - Country:US
Practice Address - Phone:516-229-1386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty