Provider Demographics
NPI:1831534759
Name:LINDSEY, ALYSSA VICTORIA (MA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:VICTORIA
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:VICTORIA
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 WEBB AVE
Mailing Address - Street 2:#403
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6624
Mailing Address - Country:US
Mailing Address - Phone:806-681-1316
Mailing Address - Fax:
Practice Address - Street 1:8915 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-1717
Practice Address - Country:US
Practice Address - Phone:214-351-3490
Practice Address - Fax:214-352-0871
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional