Provider Demographics
NPI:1982574117
Name:REAUME, ALYSSA NICOLE (LPC-MHSP (T))
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:NICOLE
Last Name:REAUME
Suffix:
Gender:F
Credentials:LPC-MHSP (T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CROSSLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-8753
Mailing Address - Country:US
Mailing Address - Phone:931-551-2058
Mailing Address - Fax:
Practice Address - Street 1:35 CROSSLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-8753
Practice Address - Country:US
Practice Address - Phone:931-551-2058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8309101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional