Provider Demographics
NPI:1326846379
Name:ROYCE, ALYSSA (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:ROYCE
Suffix:
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 GREENFIELD LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4027
Mailing Address - Country:US
Mailing Address - Phone:570-862-5335
Mailing Address - Fax:
Practice Address - Street 1:10225 BLUEGRASS RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5608
Practice Address - Country:US
Practice Address - Phone:865-599-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7744101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health