Provider Demographics
NPI:1750706479
Name:BUSBY, ALISON M (MA, CRC, CCLS)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:M
Last Name:BUSBY
Suffix:
Gender:F
Credentials:MA, CRC, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 E. BELLA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805
Mailing Address - Country:US
Mailing Address - Phone:863-683-6504
Mailing Address - Fax:863-688-9292
Practice Address - Street 1:ACHIEVEMENT ACADEMY INC
Practice Address - Street 2:716 E. BELLA VISTA ST
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805
Practice Address - Country:US
Practice Address - Phone:863-683-6504
Practice Address - Fax:863-688-9292
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health