Provider Demographics
NPI:1962277962
Name:PEREZ, ALYSSA (LMHC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E SILVER SPRINGS BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-7057
Mailing Address - Country:US
Mailing Address - Phone:352-342-9544
Mailing Address - Fax:
Practice Address - Street 1:2800 E SILVER SPRINGS BLVD STE 206
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-7057
Practice Address - Country:US
Practice Address - Phone:352-342-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22967101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health