Provider Demographics
NPI:1104666478
Name:MAUZY, ALISON LINDSEY (LPC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:LINDSEY
Last Name:MAUZY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-2700
Mailing Address - Country:US
Mailing Address - Phone:706-882-2442
Mailing Address - Fax:
Practice Address - Street 1:321B GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30241-3231
Practice Address - Country:US
Practice Address - Phone:678-810-1955
Practice Address - Fax:706-637-2320
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional