Provider Demographics
NPI:1730795675
Name:FLASH, ALYSON (MMTH, MS, CRC, NCC)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:FLASH
Suffix:
Gender:F
Credentials:MMTH, MS, CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:PA
Mailing Address - Zip Code:18447-1351
Mailing Address - Country:US
Mailing Address - Phone:570-677-2411
Mailing Address - Fax:
Practice Address - Street 1:1819 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:PA
Practice Address - Zip Code:18447-1351
Practice Address - Country:US
Practice Address - Phone:570-677-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013508101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional