MRS. ALYSS LIAN CAVANAGH M.A., LMHC
NPI 1770837411
Counselor - Mental Health in Newton, MA
Active since November 02, 2012
About Mrs. Alyss Lian Cavanagh M.a., Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALYSS LIAN CAVANAGH M.A., LMHC (NPI 1770837411) is an individual mental health provider in Newton, Massachusetts, licensed in New York (005310) and active in the NPI registry since November 2012.
NPPES Registry Identity
NPI1770837411
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ALYSS LIAN CAVANAGHCredential: M.A., LMHC
Location Address109 OAK ST, SUITE G 10Newton, MA 02464-1492
Mailing Address109 Oak St, Suite G 10Newton, MA 02464-1492
Phone(617) 467-4523
Fax(617) 916-5081
Sole ProprietorNo
Enumeration DateNovember 2, 2012
✔ NPI 1770837411 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005310
109 OAK ST, Newton, MA 02464
Other Names 1
Former Name (1)Miss Alyss Lian M.a.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770837411, enumerated as an "individual" on November 02, 2012.
The provider is located at 109 OAK ST SUITE G 10 NEWTON, MA 02464 and the phone number is (617) 467-4523.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.