Provider Demographics
NPI:1538431655
Name:MCALLISTER, FAYE MARIE (LCADC, LPC)
Entity type:Individual
Prefix:MS
First Name:FAYE
Middle Name:MARIE
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:LCADC, LPC
Other - Prefix:MS
Other - First Name:FAYE
Other - Middle Name:MARIE
Other - Last Name:MCALLISTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCADC, LPC
Mailing Address - Street 1:2414 HARE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536-2319
Mailing Address - Country:US
Mailing Address - Phone:410-804-5794
Mailing Address - Fax:
Practice Address - Street 1:14701 NATIONAL HWY SW STE 5&6
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-6573
Practice Address - Country:US
Practice Address - Phone:301-687-0940
Practice Address - Fax:301-687-0948
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006284101YP2500X
MDLCA1853101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)