National Provider Identifier
Alisa Ann Reynolds, LMSW
Alisa Ann Reynolds, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 274-6200.
Profile Overview
- NPI
- 1366244147
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 25, 2025
- Last Updated
- March 25, 2025
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Mailing Address
- 100 Roberts St Apt 11-1
- Binghamton, NY 13901-2431
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1366244147
- Entity Type
- Individual
- Last Name
- Reynolds
- First Name
- Alisa
- Middle Name
- Ann
- Credential
- LMSW
- Mailing Street Address
- 100 Roberts St Apt 11-1
- Mailing City
- Binghamton
- Mailing State
- NY
- Mailing ZIP Code
- 13901-2431
- Mailing Country
- US
- Mailing Phone
- (607) 222-6231
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Enumeration Date
- March 25, 2025
- Last Updated
- March 25, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 25, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 1588686596 (NY)