Provider Demographics
NPI:1982079463
Name:OLIVER, ALLISON RILEY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:RILEY
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BROOKEDGE
Mailing Address - Street 2:APT D
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-9105
Mailing Address - Country:US
Mailing Address - Phone:518-764-8583
Mailing Address - Fax:
Practice Address - Street 1:260 WASHINGTON AVENUE EXT
Practice Address - Street 2:CORPORATE PLAZA SUITE 101
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-6326
Practice Address - Country:US
Practice Address - Phone:518-218-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health