Healthcare Provider Details

I. General information

NPI: 1720588114
Provider Name (Legal Business Name): ALYSSA KNIERING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 FARMINGTON AVE
BERLIN CT
06037-2301
US

IV. Provider business mailing address

8 JANET DR
NEW BRITAIN CT
06053-1707
US

V. Phone/Fax

Practice location:
  • Phone: 860-888-2286
  • Fax:
Mailing address:
  • Phone: 860-919-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3360
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: