Healthcare Provider Details

I. General information

NPI: 1386476141
Provider Name (Legal Business Name): ALYSSA CHRISTINE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 AYER RD
HARVARD MA
01451-1176
US

IV. Provider business mailing address

251 CONCORD RD
BEDFORD MA
01730-2017
US

V. Phone/Fax

Practice location:
  • Phone: 978-772-1846
  • Fax:
Mailing address:
  • Phone: 339-223-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: