ALLYSON LEIGH LICESE


Address: 28 Russett Ln, Middletown, CT 06457-5803
Phone: 2032063538

ALLYSON LEIGH LICESE (NPI# 1033686514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033686514
Entity Type Individual
Full Name ALLYSON LEIGH LICESE
Practice Address 28 Russett Ln
Middletown
CT 06457-5803
Mailing Address 21 Meeker Rd
Southington
CT 06489-2234
Practice Telephone 2032063538
Mailing Telephone 2032063538
Enumeration Date 2018-11-01
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 4557 CT Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 28 RUSSETT LN
City MIDDLETOWN
State CT
Zip Code 06457-5803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841649415 John Stephen Silvani Counselor 4302 Roosevelt Blvd, Middletown, OH 45044-6625 2016-06-06
1750782207 Jennifer A. Mackechnie Counselor 5 Russett Rd, Middletown, RI 02842-5326 2014-09-15
1801206347 Ellen Bloom Counselor 7 Randall Hts, Middletown, NY 10940-4615 2014-05-06
1265855878 Scott Mcguinness Counseling Services, LLC Counselor 37 Roberts St, Middletown, CT 06457-4634 2014-02-03
1508295676 Theodora Ann O'neill Counselor 168 New Monmouth Rd, Middletown, NJ 07748-2231 2013-11-08
1669750782 Melissa M Brady Counselor 2279 Goshen Tpke, Middletown, NY 10941-4032 2011-07-22
1427367457 Samuel R Cawley Counselor 5123 Town Rdg, Middletown, CT 06457-1638 2010-09-24
1316052939 Janice Dale Freeman Counselor 8 Highland Avenue, Suite 01, Middletown, NY 10940 2006-08-21
1811598964 Jamie Kleiner Counselor 4464 S Dixie Hwy, Middletown, OH 45005-5464 2020-11-05
1750989562 Betsy Singer-lefton Counselor 4464 S Dixie Hwy, Middletown, OH 45005-5464 2020-10-14
Find all providers in MIDDLETOWN

Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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