Provider Demographics
NPI:1912789272
Name:BECKNER, ALYSSIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSIA
Middle Name:
Last Name:BECKNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALYSSIA
Other - Middle Name:
Other - Last Name:KEYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1209 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4700
Mailing Address - Country:US
Mailing Address - Phone:863-473-2516
Mailing Address - Fax:
Practice Address - Street 1:5714 KEATON SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33811-1884
Practice Address - Country:US
Practice Address - Phone:863-272-9137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health