Provider Demographics
NPI:1871629014
Name:LEWIS, ALISON MARIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARIE
Last Name:LEWIS
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 1:64 DUTCHESS TER
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1544
Mailing Address - Country:US
Mailing Address - Phone:845-440-0554
Mailing Address - Fax:
Practice Address - Street 1:64 DUTCHESS TER
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1544
Practice Address - Country:US
Practice Address - Phone:845-440-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000107-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor