Provider Demographics
NPI:1548976996
Name:KAY, ALISSA A (LCMHCA)
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:A
Last Name:KAY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3127 JOHN WILLIS RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-7032
Mailing Address - Country:US
Mailing Address - Phone:252-622-2326
Mailing Address - Fax:
Practice Address - Street 1:244 1/2 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-2110
Practice Address - Country:US
Practice Address - Phone:252-622-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18516101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health