Provider Demographics
NPI:1851276083
Name:FAIZON, ALLYSON P (LCSWA)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:P
Last Name:FAIZON
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 E CHATHAM ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3372
Mailing Address - Country:US
Mailing Address - Phone:919-783-5431
Mailing Address - Fax:
Practice Address - Street 1:407 DIVERSITY WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-9545
Practice Address - Country:US
Practice Address - Phone:919-302-9680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP021790101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health