| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALYSIA HENDRICKSON | 1356199566 | 2024-05-11 |
Alysia Hendrickson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356199566. Registration indicates Alysia Hendrickson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Alysia Hendrickson LCSW |
| Practice Office Address | 4533 MOUNT VERNON BLVD HAMBURG, NY US |
| Practice Office Telephone | 7073017881 |
| Mailing Address | 4533 MOUNT VERNON BLVD HAMBURG, NY 140753128 US |
| Business Telephone | 7073017881 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 097497-01
NY |