Provider Demographics
NPI:1285884700
Name:WILLIAMS, ALISSA I (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:
Last Name:WILLIAMS
Suffix:I
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALISSA
Other - Middle Name:
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2300 HAGGERTY RD
Mailing Address - Street 2:SUITE 2160
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2184
Mailing Address - Country:US
Mailing Address - Phone:248-539-0899
Mailing Address - Fax:
Practice Address - Street 1:87 STILES RD STE 106
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2899
Practice Address - Country:US
Practice Address - Phone:603-893-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2022-05-05
Deactivation Date:2020-06-15
Deactivation Code:
Reactivation Date:2022-05-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)