Provider Demographics
NPI:1518715879
Name:FARLING, ALYSSA ANNE
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:ANNE
Last Name:FARLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1329
Mailing Address - Country:US
Mailing Address - Phone:804-723-2160
Mailing Address - Fax:804-723-2191
Practice Address - Street 1:9450 ATLEE STATION RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2600
Practice Address - Country:US
Practice Address - Phone:804-723-2160
Practice Address - Fax:804-723-2191
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-502736101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool