Provider Demographics
NPI:1063909026
Name:VU, ALYSSA (LMSW)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 5TH AVE FL 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3689
Mailing Address - Country:US
Mailing Address - Phone:646-470-4818
Mailing Address - Fax:
Practice Address - Street 1:535 5TH AVE FL 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3689
Practice Address - Country:US
Practice Address - Phone:646-470-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health