Individual
ALYSSA MANCUSO LAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
250 SUN TEMPLE DR STE B1, MADISON, AL 35758-5922
(256) 565-9145
Mailing address
250 SUN TEMPLE DR, MADISON, AL 35758-5921
(256) 565-9145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
LPC03534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447620687
BCBS
AL
05
—
330000014
—
AL
Enumeration date
09/30/2015
Last updated
03/05/2026
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