Organization
ALYSSA BUCHANAN, LLC
Active
Other names
Skylight Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA BUCHANAN LCSW (OWNER)
(321) 608-0604
Entity
Organization
Contact information
Practice address
630 S WICKHAM RD STE 107, WEST MELBOURNE, FL 32904-1429
(321) 608-0604
(321) 608-0604
Mailing address
630 S WICKHAM RD STE 107, WEST MELBOURNE, FL 32904-1429
(321) 608-0604
(321) 608-0604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW12384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014820300
—
FL
Enumeration date
03/04/2017
Last updated
01/12/2022
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