Provider Demographics
NPI:1134543069
Name:WHITEHOUSE, ALYSSA (LMHC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1 WALPOLE ST.
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:508-821-6574
Mailing Address - Fax:
Practice Address - Street 1:1 WALPOLE ST.
Practice Address - Street 2:SUITE 7
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:508-821-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA10003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health