Provider Demographics
NPI:1235528043
Name:SORRELLS, ALYSSA (LMHC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SORRELLS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 RENAISSANCE POINTE APT 102
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3516
Mailing Address - Country:US
Mailing Address - Phone:954-240-1646
Mailing Address - Fax:
Practice Address - Street 1:1317 EDGEWATER DR # 2513
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6350
Practice Address - Country:US
Practice Address - Phone:407-753-9083
Practice Address - Fax:407-250-8356
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH15738OtherDEPARTMENT OF HEALTH