Provider Demographics
NPI:1194135996
Name:SAWYER, ALISA (LMHC, MS)
Entity type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LMHC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MOHAWK ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-2600
Mailing Address - Country:US
Mailing Address - Phone:518-235-1100
Mailing Address - Fax:
Practice Address - Street 1:55 MOHAWK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-2600
Practice Address - Country:US
Practice Address - Phone:518-235-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NY007286-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)