Provider Demographics
NPI:1730627035
Name:PINTO, ALLYSON GRENLESKI (LPC)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:GRENLESKI
Last Name:PINTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 HIGHLAND TER NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-1081
Mailing Address - Country:US
Mailing Address - Phone:404-925-7503
Mailing Address - Fax:
Practice Address - Street 1:867 HIGHLAND TER NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-1081
Practice Address - Country:US
Practice Address - Phone:404-925-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional