Organization
THERAPY WITH ALYSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSE HELENE ERGOOD MCKEAL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(856) 438-0694
Entity
Organization
Contact information
Practice address
1769 JAMESTOWN RD STE 207, WILLIAMSBURG, VA 23185-2307
(856) 438-0694
Mailing address
7901 4TH ST N STE 8058, ST PETERSBURG, FL 33702-4305
(856) 438-0694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2018
Last updated
08/26/2022
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