Alisha Allen, LPC

Individual provider Active NPI Counselor · Alpena, MI

NPI 1053969261 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1053969261
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
6401017602 (MI)
Practice address
Peaceful Mind Therapeutics, PLLC
150 S Ripley Blvd
Alpena, MI 49707
Phone
(989) 465-7400
Fax
(989) 465-7465
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401017602MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling Services of Northeast Michigan, Inc Past
since Sep 1, 2019
Accepting new patients
Charis Counseling Services of Northeast Michigan, PLLC Counselor Past
since Sep 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017602 MI Yes

Addresses

Primary practice location

Peaceful Mind Therapeutics, PLLC
150 S Ripley Blvd
Alpena, MI 49707

Mailing address

150 S Ripley Blvd
Alpena, MI 49707-3406
Phone (989) 465-7400

Other identifiers

IdentifierTypeStateIssuer
6401223632OtherMISTATE LICENSE

Other providers in Alpena, MI

All providers in Alpena, MI · Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.