Provider Demographics
NPI:1487311189
Name:ZEISER, ALYSSA J (NCC, LMHCA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:J
Last Name:ZEISER
Suffix:
Gender:F
Credentials:NCC, LMHCA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:J
Other - Last Name:TRELSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC, LMHCA
Mailing Address - Street 1:9640 COMMERCE DR STE 413
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9640 COMMERCE DR STE 413
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7638
Practice Address - Country:US
Practice Address - Phone:317-721-2155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001055A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health